NPIMap

Organization Active NPI

Sozo Wellness Center

  • Mental Health Counselor
  • Bimble, KY
National Provider Identifier
1700178456
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SOZO WELLNESS CENTER
Practice address
4671 South Cumberland Gap Parkway
Bimble, KY 40915
Phone
(606) 545-9478
Fax
(606) 546-3903
NPI assigned
May 12, 2011
Last updated
May 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Miss Holly R Taylor, LPCC
Title
Therapist
Phone
(606) 545-9478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

4671 South Cumberland Gap Parkway
Bimble, KY 40915

Mailing address

PO Box 423
Bimble, KY 40915-0423
Phone (606) 545-9478

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1700178456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 423",
            "city": "BIMBLE",
            "state": "KY",
            "postal_code": "409150423",
            "telephone_number": "606-545-9478",
            "fax_number": "606-546-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4671 SOUTH CUMBERLAND GAP PARKWAY",
            "city": "BIMBLE",
            "state": "KY",
            "postal_code": "40915",
            "telephone_number": "606-545-9478",
            "fax_number": "606-546-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOZO WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "606-545-9478",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bimble, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.