SOUL SPACE, LLC


Address: 10501 E Seven Generations Way Ste 121, Tucson, AZ 85747-5828
Phone: 5202148650

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NV 1447497417 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1580 N Kolb Rd Ste 206, Tucson, AZ 857154933 5202148650

Office Location

Street Address 10501 E SEVEN GENERATIONS WAY STE 121
City TUCSON
State AZ
Zip Code 85747-5828

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City TUCSON
Zip Code 85747

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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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