Soul Community Center Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUL COMMUNITY CENTER INC

Practice address

8140 College Pkwy Ste 203
Fort Myers, FL 33919-5169

Phone

(305) 244-6234

NPI assigned

Oct 25, 2024

Last updated

Oct 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hector Perez Gonzalez

Title

Ceo

Phone

(305) 244-6234

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1942022538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 COLLEGE PKWY STE 203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195169",
            "telephone_number": "305-244-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 COLLEGE PKWY STE 203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195169",
            "telephone_number": "305-244-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL COMMUNITY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "PEREZ GONZALEZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-244-6234"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.