Soul Hospital With Dr. Char

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3163 Issued in TN

Legal business name

SOUL HOSPITAL WITH DR. CHAR

Practice address

1416 Breda Dr
Knoxville, TN 37918-1401

Phone

(865) 806-4403

NPI assigned

Mar 25, 2015

Last updated

Mar 25, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charlotte Ann Frye, LMHC, LPC-MHSPNPI 1639367444

Title

President

Phone

(865) 806-4403

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charlotte A Frye, LMHC,LPC-MHSP,EDD

  • Mental Health Counselor
  • Knoxville, TN
  • NPI 1639367444
  Authorized official Same address or phone

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1669866851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 BREDA DR",
            "address_2": "PO BOX 5450",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181401",
            "telephone_number": "865-806-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 BREDA DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181401",
            "telephone_number": "865-806-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL HOSPITAL WITH DR. CHAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-806-4403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMHC, LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "3163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002043100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kailyn Sorensen
• Hope Russell Sorey, AG-ACNP
• Rachel Sosna, LMSW
• Francisco J Soto, MD
• Hanna Souhrada
• Soul of Serenity Center
• Sound Image Inc
• South Knox Dental
• Southeast Behavioral Services
• Southeast Eye Surgery Center, LLC

• Community/Behavioral Health Agency in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.