Soulistic Counseling Corner, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13989 Issued in FL

Legal business name

SOULISTIC COUNSELING CORNER, LLC

Practice address

415 N Richard Jackson Blvd Ste 204
Panama City Beach, FL 32407-3694

Phone

(850) 628-1956

NPI assigned

Aug 8, 2018

Organization subpart

No

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

Authorized official

Name

Shae Nicole Luster, LMHCNPI 1225497365

Title

Counselor/Owner

Phone

(850) 628-1956

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shae Nicole Luster, LMHC

  • Mental Health Counselor
  • Panama City Beach, FL
  • NPI 1225497365
  NPD (past) Authorized official

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1972082121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N RICHARD JACKSON BLVD STE 204",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324073694",
            "telephone_number": "850-628-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N RICHARD JACKSON BLVD STE 204",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324073694",
            "telephone_number": "850-628-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULISTIC COUNSELING CORNER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "LUSTER",
        "authorized_official_first_name": "SHAE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "850-628-1956",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela J. Smith, M.S., SLP
• Amanda Smitherman, CRNP
• Tephanie D Soderstrom, PA
• Sommer Lyn Hoyt
• Leona De Guzman Sopko
• South Barrett Behavioral LLC
• Southern Speech Pediatrics, LLC
• Aaleiyah Caprice Spaulding, PSY.D.
• Cynda St Cere, ARNP
• Ashley Brooke Stanley, RBT

• Mental Health Counselor in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.