SOUL SPACE, LLC (NPI# 1871135335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871135335 |
Entity Type | Organization |
Organization Name | SOUL SPACE, LLC |
Practice Address |
10501 E Seven Generations Way Ste 121 Tucson AZ 85747-5828 |
Practice Telephone | 5202148650 |
Mailing Telephone | 5202148650 |
Enumeration Date | 2019-10-16 |
Last Update Date | 2019-10-17 |
Authorized Official Name | REBECCA HAMLIN (OWNER) |
Authorized Official Telephone | 5202148650 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | 1447497417 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1580 N Kolb Rd Ste 206, Tucson, AZ 857154933 | 5202148650 |
Street Address |
10501 E SEVEN GENERATIONS WAY STE 121 |
City | TUCSON |
State | AZ |
Zip Code | 85747-5828 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316440241 | Rob Zonfrelli Counseling LLC | Community/Behavioral Health | 10501 E Seven Generations Way Ste 121, Tucson, AZ 85747-5828 | 2018-03-16 |
1780229765 | Ashlee Elizabeth Knapp | Marriage & Family Therapist | 10501 E Seven Generations Way Ste 121, Tucson, AZ 85747-5828 | 2019-11-13 |
1659916047 | Dawn Starkey | Counselor | 10501 E Seven Generations Way Ste 121, Tucson, AZ 85747-5828 | 2019-11-09 |
1235634429 | Roze Therapeutic Services Pllc | Clinic/Center | 10501 E Seven Generations Way Ste 121, Tucson, AZ 85747-5828 | 2018-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093375958 | Elizabeth Hachenberg | Acupuncturist | 5343 S. Civano Blvd, Tucson, AZ 85747 | 2019-06-13 |
1073096749 | Tina Marie Evans | Pharmacist | 6250 E Grant Road, Ste #388, Tucson, AZ 85747 | 2018-09-10 |
1386173748 | Aliesje Nichole Thrower | Physical Medicine & Rehabilitation | 8465 E Hodgman Pl, Tucson, AZ 85747 | 2017-06-08 |
1558808998 | Kyleigh Aryn Karnas | Student in an Organized Health Care Education/Training Program | 10377 E. Valley Quail Dr., Tucson, AZ 85747 | 2017-01-24 |
1417369729 | Caitlin Marie Harper | Physician Assistant | 9685 E Paseo San Ardo, Tucson, AZ 85747 | 2014-05-21 |
1326463035 | Danelle Hunter | Pharmacist | 9260 S. Houghton Rd., Tucson, AZ 85747 | 2014-03-04 |
1609212497 | Joseph Donald Marco | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4825 South Manning Camp Ct, Tucson, AZ 85747 | 2013-05-20 |
1518218718 | Kristina Marie Downing | Nurse Practitioner | 9356 E Rita Rd Ste 180, Tucson, AZ 85747 | 2012-09-27 |
1376832006 | Denise Preuss | Social Worker | 10501 E Seven Generations Way Ste 201-07, Tucson, AZ 85747 | 2011-04-04 |
1376843342 | Tanya R White | Pharmacist | 9050 E. Valencia, Tucson, AZ 85747 | 2010-10-25 |
Find all providers in zip 85747 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265047435 | Sarah Mcmillan Counseling Pllc | Community/Behavioral Health | 6460 E Grant Rd # 30661, Tucson, AZ 85715-8800 | 2020-09-14 |
1851902274 | Connections Counseling Inc | Community/Behavioral Health | 450 E Navajo Rd, Tucson, AZ 85705-3939 | 2020-08-10 |
1619503224 | Willingness Counseling Pllc | Community/Behavioral Health | 5775 S Saddle Ridge Ln, Tucson, AZ 85746-3635 | 2020-03-14 |
1174162143 | Buena Vista Recovery, LLC | Community/Behavioral Health | 5151 E Pima St Ste 110, Tucson, AZ 85712-3627 | 2019-12-23 |
1053877639 | Getaway Advanced Services LLC | Community/Behavioral Health | 3780 E Felix Blvd, Tucson, AZ 85706-1926 | 2019-02-19 |
1255815577 | Jane St. Perre | Community/Behavioral Health | 1955 W Grant Rd Ste 125p, Tucson, AZ 85745-1471 | 2018-09-21 |
1225519416 | The University of Arizona | Community/Behavioral Health | 4210 N Campbell Ave, Tucson, AZ 85719-1109 | 2018-08-24 |
1497244214 | Sage Counseling, Inc. | Community/Behavioral Health | 2221 E Broadway Blvd Ste 200, Tucson, AZ 85719-6032 | 2018-05-07 |
1316440241 | Rob Zonfrelli Counseling LLC | Community/Behavioral Health | 10501 E Seven Generations Way Ste 121, Tucson, AZ 85747-5828 | 2018-03-16 |
1730681685 | Casa De Los Ninos, Inc. | Community/Behavioral Health | 1120 N 5th Avenue, Tucson, AZ 85705 | 2018-03-07 |
Find all providers in TUCSON |
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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.