SOULFUL LIVING LLC


Address: 74 W Long Lake Rd Ste 100, Bloomfield Hills, MI 48304-2770
Phone: 2488850225

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 74 W LONG LAKE RD STE 100
City BLOOMFIELD HILLS
State MI
Zip Code 48304-2770

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City BLOOMFIELD HILLS
Zip Code 48304

Improve Information

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Dataset Information

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.

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