Soulfully Urs, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOULFULLY URS, LLC

Practice address

9898 Bissonnet St Ste 470
Houston, TX 77036-8280

Phone

(281) 888-6137

NPI assigned

Aug 13, 2021

Organization subpart

No

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

Authorized official

Name

Teresa Antoinette Fuller, LCSW, LCDCNPI 1346846151

Title

Ceo

Phone

(206) 578-1207

Specialties & licenses 4

Addresses

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.

• Teresa Antoinette Fuller, LCSW, LCDC

  • Clinical Social Worker
  • Houston, TX
  • NPI 1346846151
  NPD Authorized official

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1700551447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 WOODVALE DR UNIT B",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774891421",
            "telephone_number": "281-901-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9898 BISSONNET ST STE 470",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368280",
            "telephone_number": "281-888-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULFULLY URS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANTOINETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-578-1207",
        "authorized_official_credential": "LCSW, LCDC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soul Butterfly Healthcare, PLLC
• Joseph J Soulamon, LMT
• Krystal Shauntel Soularie
• Robert Soule Jr., M.D.
• Soulfield Family & Pediatric Clinic-Emergency Center Inc
• Souls of Nursing Inc
• Zainab Hamza Soumahoro, M.D.
• Rama Soumakieh
• Soumava Sen DDS PC
• Soumava Sen, DD, P.C.

• Community/Behavioral Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.