Soul & Ego LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SOUL & EGO LLC

Practice address

98 Whitford Street
Boston, MA 02131

Phone

(617) 637-2574

NPI assigned

Dec 5, 2023

Organization subpart

No

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

Authorized official

Name

Luisa Ibner, LMHC

Title

Owner

Phone

(617) 637-2574

Specialties & licenses 1

Addresses

Other names 1

• Soul Over Ego Counseling & More Doing business as

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1821865379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 PROVIDENCE HWY # 1084",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 WHITFORD STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02131",
            "telephone_number": "617-637-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL & EGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "IBNER",
        "authorized_official_first_name": "LUISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-637-2574",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soul Over Ego Counseling & More",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olivia Renee Soudry, MD
• Abbas Soufan
• Andre Souffrant, MD
• Shanique Souffrant, ARNP-CNP, FNP-BC
• Alexander A. Soukas, MD, PHD
• Janet S Soul, MD
• Susan Soule-Hinds, CRNA
• Souls Sprout Mindful Care, Inc
• Fereshteh S Soumekh, MD
• Jacob D. Soumerai, MD

• Mental Health Counselor in Boston, MA
• Providers in Boston, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.