Lift My Soul Therapy Solutions, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIFT MY SOUL THERAPY SOLUTIONS, LLC

Practice address

305B Battle St E
Talladega, AL 35160-2654

Phone

(256) 322-6886

NPI assigned

Dec 8, 2022

Last updated

Dec 8, 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

Colleen Craig-Akinsanya, LICSWNPI 1396491288

Title

Owner

Phone

(256) 322-6886

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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.

• Colleen Craig-Akinsanya, LICSW

  • Clinical Social Worker
  • Talladega, AL
  • NPI 1396491288
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1760193924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 GOLDEN SPRINGS RD # 345",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362076924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305B BATTLE ST E",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602654",
            "telephone_number": "256-322-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFT MY SOUL THERAPY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "CRAIG-AKINSANYA",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-322-6886",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Kulovitz, D.M.D.
• Landmark Nephrology & Hypertension Clinic. P.C
• Kelsey Turner Langdale, FNP-BC
• Heather Leeann Langdon
• Anthony Lessa, MD
• Candace Lovelace
• Jennifer Norwood Luty, NCC
• Jessica Massey, C.R.N.P
• Kristen Michelle McCormack
• Amos Troy McGalliard, R.N.

• Clinical Social Worker in Talladega, AL
• Providers in Talladega, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.