Soulthrive Therapy Services PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOULTHRIVE THERAPY SERVICES PLLC

Practice address

3643 Mudlick Rd
Salt Lick, KY 40371-8631

Phone

(606) 336-2560

NPI assigned

May 21, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alison Motley Crouch

Title

Owner

Phone

(606) 336-2560

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allison Motley-Crouch, LCSW

  • Clinical Social Worker
  • Mount Sterling, KY
  • NPI 1376971606
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1669047775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3643 MUDLICK RD",
            "city": "SALT LICK",
            "state": "KY",
            "postal_code": "403718631",
            "telephone_number": "606-336-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3643 MUDLICK RD",
            "city": "SALT LICK",
            "state": "KY",
            "postal_code": "403718631",
            "telephone_number": "606-336-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULTHRIVE THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "MOTLEY CROUCH",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-336-2560"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Cantrell
• Jennifer Anne Caudill, LMT
• Communication Connections, LLC
• Kyla Marie Johnson

• Clinical Social Worker in Salt Lick, KY
• Providers in Salt Lick, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.