Soulshine Counseling and Wellness, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2143 Issued in MS

Legal business name

SOULSHINE COUNSELING AND WELLNESS, LLC

Practice address

1310 Goodman Rd E
Southaven, MS 38671-9542

Phone

(662) 470-5433

Fax

(501) 745-2378

NPI assigned

Feb 26, 2018

Last updated

Sep 7, 2022By 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

Mary Elizabeth FoxNPI 1861882409

Title

Owner

Phone

(662) 470-5433

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 5

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.

• Mary Fox

  • Professional Counselor
  • Southaven, MS
  • NPI 1861882409
  NPD Authorized official
• Stephanie Armstrong

  • Professional Counselor
  • Southaven, MS
  • NPI 1235897075
  NPD
• Tamila Baker

  • Professional Counselor
  • Southaven, MS
  • NPI 1255024162
  NPD
• Kimberly Davis, LPC

  • Professional Counselor
  • Southaven, MS
  • NPI 1063130029
  NPD
• Julie Johnston Holcomb, LCSW

  • Clinical Social Worker
  • Hernando, MS
  • NPI 1710604285
  NPD

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1700387768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 GOODMAN RD E",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719542",
            "telephone_number": "662-470-5433",
            "fax_number": "501-745-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 GOODMAN RD E",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719542",
            "telephone_number": "662-470-5433",
            "fax_number": "501-745-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULSHINE COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-470-5433"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "2143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05455768",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@soulshineheal.com",
            "affiliation": "N",
            "endpointDescription": "Business only Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct email message",
            "address_1": "1310 Goodman Rd E",
            "city": "Southaven",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386719542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karah Ann Snider, DO
• Marilyn S Snow, PH.D. ,LPC
• Soledad Garcia (United Medical Lab)
• Cory Gary Solowsky
• Katharine Rhodes Sorenson, KATHARINE SORENSON
• Southaven Hearing Health Center LLP (Southaven Hearing Health Center)
• Southaven Internal Medicine, P.C.
• Southaven Services
• Southaven Sleep Clinic (Opus Medical Management LLC)
• Southaven Surgery Center LLC

• Mental Health Counselor in Southaven, MS
• Providers in Southaven, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.