Soul Serenity Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005328A Issued in IN

Legal business name

SOUL SERENITY COUNSELING LLC

Practice address

18 NW 4TH St
Suite 302
Evansville, IN 47708-1778

Phone

(812) 483-1995

NPI assigned

Jan 3, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Josh Perkins

Title

MBR

Phone

(812) 483-2007

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1689944050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 NW 4TH ST",
            "address_2": "SUITE 302",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 NW 4TH ST",
            "address_2": "SUITE 302",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081778",
            "telephone_number": "812-483-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL SERENITY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "812-483-2007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005328A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Sontz, DMD
• Michael T Sorg, R.PH.
• Brian Randall Sorge, M.D.
• Alexis Sosh, APRN, PMHNP-BC
• Shea N Souders, CRNA
• Adison Lee South, ATC, LAT
• Terry A South, M.D.
• Kayla D Southard, NP
• Sommer Price Souther, MSN, RN, NNP-BC
• Southern Indiana Gastroenterology,LLC

• Clinical Social Worker in Evansville, IN
• Providers in Evansville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.