Fulfilling Life'S Yearnings Mental Health Center, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FULFILLING LIFE'S YEARNINGS MENTAL HEALTH CENTER, PLLC

Practice address

5756 Reveton Rd
West Bloomfield, MI 48322-1357

Phone

(248) 736-7541

NPI assigned

Mar 31, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Blake Soulet, LLC

Title

Owner

Phone

(248) 736-7541

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1851194245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5756 REVETON RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221357",
            "telephone_number": "248-736-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5756 REVETON RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221357",
            "telephone_number": "248-736-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULFILLING LIFE'S YEARNINGS MENTAL HEALTH CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "SOULET",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-736-7541",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LLC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.