NPIMap

Organization Active NPI

Soul Space, LLC

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1871135335
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUL SPACE, LLC
Practice address
1580 N Kolb Rd Ste 100
Tucson, AZ 85715-4932
Phone
(520) 214-8650
NPI assigned
Oct 16, 2019
Last updated
Jul 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Rebecca Hamlin, LCSWNPI 1447497417
Title
Owner
Phone
(520) 214-8650

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1580 N Kolb Rd Ste 100
Tucson, AZ 85715-4932

Mailing address

10501 E Seven Generations Way Ste 121
Tucson, AZ 85747-5828
Phone (520) 214-8650

Other identifiers 1

IdentifierTypeStateIssuer
1447497417MedicaidNV

National Provider Directory

National Provider Directory

Locations

1580 N Kolb Rd
Ste 100
Tucson, AZ 85715
Phone (520) 214-8650

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1871135335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 E SEVEN GENERATIONS WAY STE 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475828",
            "telephone_number": "520-214-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 N KOLB RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154932",
            "telephone_number": "520-214-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL SPACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "HAMLIN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-214-8650",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447497417",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.