SOULFUL LIVING LLC (NPI# 1609342146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609342146 |
Entity Type | Organization |
Organization Name | SOULFUL LIVING LLC |
Practice Address |
74 W Long Lake Rd Ste 100 Bloomfield Hills MI 48304-2770 |
Practice Telephone | 2488850225 |
Practice Fax Number | 7342075326 |
Mailing Telephone | 2488850225 |
Mailing Fax Number | 7342075326 |
Enumeration Date | 2018-10-23 |
Last Update Date | 2018-10-23 |
Authorized Official Name | TAMARA KOLTON (LLP/OWNER) |
Authorized Official Telephone | 2488850225 |
Authorized Official Credential | LLP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
Street Address |
74 W LONG LAKE RD STE 100 |
City | BLOOMFIELD HILLS |
State | MI |
Zip Code | 48304-2770 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740623016 | Tamara Kolton | Psychologist | 74 W Long Lake Rd Ste 100, Bloomfield Hills, MI 48304-2770 | 2013-04-16 |
1447881784 | Morgan Christine Blain | Speech-Language Pathologist | 74 W Long Lake Rd Ste 100, Bloomfield Hills, MI 48304-2770 | 2020-01-27 |
1982246286 | Soul Growth Psychological Services Pllc | Psychologist | 74 W Long Lake Rd Ste 100, Bloomfield Hills, MI 48304-2770 | 2019-10-08 |
1073089645 | Laura D. Fishman, Lmsw, Acsw, P.C. | Social Worker | 74 W Long Lake Rd Ste 100, Bloomfield Hills, MI 48304-2770 | 2018-10-22 |
1467927590 | Hillary Follis | Social Worker | 74 W Long Lake Rd Ste 100, Bloomfield Hills, MI 48304-2770 | 2018-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093346462 | Easy Living Assistance | Adult Companion | 41000 Woodward Ave Suite E 350, Bloomfield Twp, MI 48304 | 2020-02-04 |
1013499979 | Bloomfield Hills Dental Associates Pllc | Dentist | 36700 Woodward Avenue, Suite 200, Bloomfield Hills, MI 48304 | 2018-09-06 |
1780191965 | Donna Jane Bishop | Social Worker | 549 Kingsley Trail, Bloomfield Hills, MI 48304 | 2018-01-09 |
1750730636 | Rana Karcho | Occupational Therapist | 40800 Woodward Ave., Bloomfield Hills, MI 48304 | 2016-06-10 |
1447607684 | Jennifer Ramsey-martin | Technician, Other | 458 Fox Hills Dr. N. Apt #7, Bloomfield Hills, MI 48304 | 2016-05-18 |
1922438811 | Rachel Mary Eshkanian | Counselor | 41000 Woodward Avenue, Suite 350 East, Bloomfield Hills, MI 48304 | 2013-11-14 |
1578887535 | Earle W. Spohn Jr. D.o. P.C. | Surgery | 27 Balfour Dr, Bloomfield Hills, MI 48304 | 2010-03-19 |
1710110440 | John Hazlett Mclaughlin | Surgery | 756 Briar Hill Lane, Bloomfield Hills, MI 48304 | 2009-08-28 |
1710120597 | Bala Shanker Prasad | Orthopaedic Surgery | 264, Pine Ridge Dr, Bloomfield Hills, MI 48304 | 2009-04-09 |
1083862460 | Nermeen Hassan Elnabtity | Dentist | 950 Southdown Rd, Bloomfield Hills, MI 48304 | 2008-08-28 |
Find all providers in zip 48304 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033610076 | Janie Bishop LLC | Clinic/Center | 549 Kingsley Trl, Bloomfield Hills, MI 48304-2317 | 2018-02-26 |
1326323965 | Patricia A Kaylor, P.C. | Clinic/Center | 659 Brockmoor Ln, Bloomfield Hills, MI 48304-1415 | 2011-10-14 |
1396388518 | Kristen Ghersi Hurrell Phd Pllc | Clinic/Center | 41000 Woodward Ave Ste 350, Bloomfield Hills, MI 48304-5092 | 2019-10-21 |
1376877142 | Frank J. Greene M.d., P.C. | Clinic/Center | 10 W Square Lake Rd, Suite 222, Bloomfield Hills, MI 48302-0465 | 2009-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
1356941280 | Peaceful Pride Counseling LLC | Clinic/Center | 3916 Nottingham Ter, Midland, MI 48642-6217 | 2020-10-29 |
1205442142 | Comprehensive Health and Home Care Services LLC | Clinic/Center | 2505 Burton St Se Ste 102a, Grand Rapids, MI 49546-4804 | 2020-09-16 |
1356961064 | Turning Point Day Program Center | Clinic/Center | 19720 Dorset St, Southfield, MI 48075-3925 | 2020-04-22 |
1316585367 | Valarie James, LLC | Clinic/Center | 1290 36th St Sw, Wyoming, MI 49509-3468 | 2019-12-19 |
1306484175 | Joy Counseling Services Pllc | Clinic/Center | 1000 W Maple Rd Ste 108, Troy, MI 48084-5306 | 2019-12-12 |
1922646751 | Tranquility Christian Counseling Inc | Clinic/Center | 24100 Southfield Rd Ste 320f, Southfield, MI 48075-2819 | 2019-12-11 |
1982241964 | Marquette Counseling Service | Clinic/Center | Lori Johnson, 112 W Washington Street Ste A, Marquette, MI 49855-3844 | 2019-12-09 |
1033769534 | Honor First | Clinic/Center | 25801 Harper Ave, Saint Clair Shores, MI 48081-2233 | 2019-09-17 |
1871140681 | Modern Family Counseling Center | Clinic/Center | 4195 Barcroft Way, West Bloomfield, MI 48323-1803 | 2019-08-26 |
Find all providers with the same taxonomy |
City | BLOOMFIELD HILLS |
Zip Code | 48304 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.