Soul Purpose Wellness Center, Llc
LBN: Soul Purpose Wellness Center, Llc
Soul Purpose Wellness Center, Llc is an health care organization with primary practice located at 1318 Stone St , Jonesboro AR 72401-4522. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Soul Purpose Wellness Center, Llc can be contacted via phone (501) 213-1330, or through Adams, Katrina via phone (501) 213-1330.
Contact Information
Primary practice address
1318 Stone St
Jonesboro AR 72401-4522
Phone: (501) 213-1330
Fax: (501) 421-2135
Website:
Authorized official contact:
Name: Adams, Katrina Licensed Clinical Social Worker (LCSW)
Phone: (501) 213-1330
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1538881255 |
|---|---|
| LBN Legal business name | Soul Purpose Wellness Center, Llc |
| DBA Doing business as | |
| Authorized official | Adams, Katrina Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 19th, 2022 |
| Last updated | Mar 13th, 2024 - about 8 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538881255 | NPPES |
| Arkansas | MEDICAID | 277740719 | |
| Arkansas | MEDICAID | 290450744 |
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