Active NPI
Soar Counseling Services
- Community/Behavioral Health Agency
- Athens, AL
National Provider Identifier
1710381579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2351C
- Legal business name
- SOAR COUNSELING SERVICES
- Practice address
- 117 S. Marion St. Suite E
Athens, AL 35611-2552 - Phone
- (256) 278-4364
- NPI assigned
- Oct 22, 2014
- Last updated
- Oct 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Wolanzyk, LCSW
- Title
- Owner/Provider
- Phone
- (256) 278-4364
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 2351C | AL | Primary |
Addresses
Primary practice location
117 S. Marion St. Suite E
Athens, AL 35611-2552
Mailing address
117 S Marion St Ste E
Athens, AL 35611-2552
Phone (256) 278-4364
National Provider Directory
National Provider DirectoryLocations
117 S Marion St
Ste E
Athens, AL 35611
Phone (256) 278-4364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413936000000",
"number": "1710381579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 S MARION ST STE E",
"city": "ATHENS",
"state": "AL",
"postal_code": "356112552",
"telephone_number": "256-278-4364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 S. MARION ST. SUITE E",
"city": "ATHENS",
"state": "AL",
"postal_code": "356112552",
"telephone_number": "256-278-4364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOAR COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-22",
"last_updated": "2014-10-22",
"status": "A",
"authorized_official_last_name": "WOLANZYK",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "256-278-4364",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AL",
"license": "2351C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.