Organization Active NPI

Soul Care Therapeutic Services LLC

  • Clinical Social Worker
  • Holt, MI
National Provider Identifier
1871363630
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOUL CARE THERAPEUTIC SERVICES LLC
Practice address
2132 Cedar St
Holt, MI 48842-1458
Phone
(734) 489-1658
NPI assigned
Jan 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Vanesha D Smith, LLMSWNPI 1992432546
Title
Owner, Mental Health Therapist
Phone
(734) 489-1658

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2132 Cedar St
Holt, MI 48842-1458

Mailing address

2132 Cedar St
Holt, MI 48842-1458

National Provider Directory

National Provider Directory

Locations

2132 Cedar St
Holt, MI 48842
Phone (517) 694-2316

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": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1871363630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 CEDAR ST",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488421458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 CEDAR ST",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488421458",
            "telephone_number": "734-489-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL CARE THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VANESHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER, MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "734-489-1658",
        "authorized_official_credential": "LLMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.