Sacred Soul Wellness LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SACRED SOUL WELLNESS LLC

Practice address

3576 Quad Pkwy
Montgomery, AL 36116-6750

Phone

(334) 333-1632

Fax

(334) 621-1842

NPI assigned

Aug 5, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Tiffany Taft, PHD

Title

Executive Director

Phone

(334) 333-1632

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Tiffany H Gouch, PHD

  • Massage Therapist
  • Montgomery, AL
  • NPI 1174016471
  NPD

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1982259180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3576 QUAD PKWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361166750",
            "telephone_number": "334-333-1632",
            "fax_number": "334-621-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3576 QUAD PKWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361166750",
            "telephone_number": "334-333-1632",
            "fax_number": "334-621-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED SOUL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "TAFT",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-333-1632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1174016471",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@sacredsoulwellness.org",
            "affiliation": "N",
            "endpointDescription": "Direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3576 Quad Pkwy",
            "city": "Montgomery",
            "state": "AL",
            "country_code": "US",
            "postal_code": "361166750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fnu Sabah Ambreen, MD
• Beryl Sabb, M.S., LPCS
• Sabree Therapeutic Services, LLC
• Mikal Jamal Sabree, LICSW, PIP
• Soukayna Ariana Sabro
• Julius Nestor Sadiarin, MD
• Lisa Sadie, OTR
• Joseph Marshall Sadler Jr., M.D.
• William Hunter Sadler, D.C.
• Sikandar Saeed, M.D

• Massage Therapist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Massage Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.