Soulful Healing and Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOULFUL HEALING AND WELLNESS LLC

Practice address

28 August St
Providence, RI 02908-2905

Phone

(401) 263-1203

NPI assigned

Mar 14, 2026

Organization subpart

No

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

Authorized official

Name

Clyde HilliardNPI 1316648819

Title

Owner

Phone

(401) 263-1203

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Practitioners 1

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

• Clyde Antonio Hilliard

  • Clinical Social Worker
  • Providence, RI
  • NPI 1316648819
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1773446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773446400000",
    "number": "1982551248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 AUGUST ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 AUGUST ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082905",
            "telephone_number": "401-263-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULFUL HEALING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-14",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "status": "A",
        "authorized_official_last_name": "HILLIARD",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-263-1203"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacarina Soto
• Jacqueline Soto, RN
• Jennifer Soucar
• Peter Andrew Soukas, M.D.
• Soul Sail Therapy, Inc
• Justin Souliere, LICSW
• Darren Jerard Sousa, DO
• Wendy M Sousa, LCSW
• Southcoast Psychology,Inc
• Southern New England Healthcare for Women

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.