Soulace Group Llc
LBN: Soulace Group Llc
Soulace Group Llc is an health care organization with primary practice located at 215 N Trimble Rd , Mansfield OH 44906-2630. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Soulace Group Llc can be contacted via phone (419) 571-1332, or through Hoffmann, Richard Joseph via phone (419) 571-1332.
Contact Information
Primary practice address
215 N Trimble Rd
Mansfield OH 44906-2630
Phone: (419) 571-1332
Fax: (419) 520-8850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1548891989 |
|---|---|
| LBN Legal business name | Soulace Group Llc |
| DBA Doing business as | |
| Authorized official | Hoffmann, Richard Joseph LICDC., LPC. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 3rd, 2020 |
| Last updated | Jun 27th, 2022 - about 2 years 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 | 1548891989 | NPPES |
| Ohio | MEDICAID | 0290637 |
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