NPIMap

Organization Active NPI

Soulful Healing Center LLC

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1932929288
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SOULFUL HEALING CENTER LLC
Practice address
624 S Wolfe St
Baltimore, MD 21231-3034
Phone
(240) 715-7991
NPI assigned
Oct 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Yianni Mikalis, LCPC, LCPATNPI 1013666890
Title
Owner
Phone
(240) 715-7991

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Art TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 221700000X

Addresses

Primary practice location

624 S Wolfe St
Baltimore, MD 21231-3034

Mailing address

624 S Wolfe St
Baltimore, MD 21231-3034
Phone (240) 715-7991

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": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1932929288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 S WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313034",
            "telephone_number": "240-715-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 S WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313034",
            "telephone_number": "240-715-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULFUL HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "MIKALIS",
        "authorized_official_first_name": "YIANNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-715-7991",
        "authorized_official_credential": "LCPC, LCPAT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

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