Organization Active NPI

Heart and Soul Therapy Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairhope, AL
National Provider Identifier
1831803006
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HEART AND SOUL THERAPY SERVICES, LLC
Practice address
10203 Woodmere Dr
Fairhope, AL 36532-5047
Phone
(251) 289-9590
NPI assigned
Jan 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Ali Marino, LMFTNPI 1750980397
Title
Owner
Phone
(251) 289-9590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

10203 Woodmere Dr
Fairhope, AL 36532-5047

Mailing address

10203 Woodmere Dr
Fairhope, AL 36532-5047
Phone (251) 289-9590

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ali@heartandsoults.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1831803006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10203 WOODMERE DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365325047",
            "telephone_number": "251-289-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10203 WOODMERE DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365325047",
            "telephone_number": "251-289-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND SOUL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-289-9590",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ali@heartandsoults.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "address_1": "10203 Woodmere Dr",
            "city": "Fairhope",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365325047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.