SOULSPACE WELLNESS CENTER


Address: 1026 W 11 Mile Rd, Royal Oak, MI 48067-5401
Phone: 2483975080

SOULSPACE WELLNESS CENTER (NPI# 1093348781) 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) 1093348781
Entity Type Organization
Organization Name SOULSPACE WELLNESS CENTER
Practice Address 1026 W 11 Mile Rd
Royal Oak
MI 48067-5401
Mailing Address 1923 Ardmore Ave
Royal Oak
MI 48073-4179
Practice Telephone 2483975080
Mailing Telephone 2488244085
Enumeration Date 2020-02-20
Last Update Date 2020-02-20
Authorized Official Name ERICA CARULLI (OWNER / PSYCHOTHERAPIST)
Authorized Official Telephone 2483975080
Authorized Official Credential MA, LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 1026 W 11 MILE RD
City ROYAL OAK
State MI
Zip Code 48067-5401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447434063 Nancy C Adair Social Worker 1026 W 11 Mile Rd, Ste C, Royal Oak, MI 48067-5403 2007-12-18
1518435635 Tracy Lynn Niyo Social Worker 1026 W 11 Mile Rd, Royal Oak, MI 48067-5401 2018-11-06
1649562869 Bart Allen Burger Psychologist 1026 W 11 Mile Rd, Suite C, Royal Oak, MI 48067-5401 2011-05-05
1417280546 Christine C. Cantrell, Phd, LLC Community/Behavioral Health 1026 W 11 Mile Rd, Suite C, Royal Oak, MI 48067-5401 2009-09-08
1821261736 Denise Joseph Psychologist 1026 W 11 Mile Rd, Suite C, Royal Oak, MI 48067-5401 2008-04-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922609072 George Edward Khamis Psychologist 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 2020-11-05
1205443751 Crossover Health Medical Group Clinic/Center 424 E. 4th St, Suite 100, Royal Oak, MI 48067 2020-09-29
1750917811 Sonia B Shah-gonzalez Case Management 830 E Fourth St, #1, Royal Oak, MI 48067 2020-03-19
1568022960 Woodo Pharmacy LLC Pharmacy 909 E 11 Mile Rd, Royal Oak, MI 48067 2019-06-18
1093217564 Sharon Diane Malinowski Occupational Therapist 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 2018-03-01
1962916569 Nuch of Michigan Inc Clinic/Center 2140 E 12 Mile Rd, Royal Oak, MI 48067 2017-11-20
1629420179 Christine Paige Homeopath 1112 Catalpa, Royal Oak, MI 48067 2016-07-08
1104277045 Rppc Labs, LLC Clinical Medical Laboratory 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 2016-06-22
1346606423 Thomas Michalos Counselor 402 S. Lafayette, Royal Oak, MI 48067 2016-01-05
1508234212 Valetta Aldridge Registered Nurse 28000 Woodward, Royal Oak, MI 48067 2015-09-11
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982147302 Wise Mind Pllc Clinic/Center 905 S Center St, Royal Oak, MI 48067-3230 2016-12-02
1326317462 Jump Start Consulting, LLC Clinic/Center 317 E 11 Mile Rd, Royal Oak, MI 48067-2735 2011-12-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225637267 Thompson Counseling & Consulting LLC Clinic/Center 36500 Ford Rd Ste 329, Westland, MI 48185-3769 2020-10-21
1720685464 Thiera Danyal Therapy and Wellness LLC Clinic/Center 10216 Beaconsfield St, Detroit, MI 48224-2573 2020-10-06
1871100602 Sbh Ventures LLC Clinic/Center 700 Golfcrest Dr, Dearborn, MI 48124-1121 2020-09-25
1558978593 Katie M Wyss Lmsw, LLC Clinic/Center 218 N 4th Ave Ste 207, Ann Arbor, MI 48104-1472 2020-09-24
1700492154 Bound Together Counseling, Pllc Clinic/Center 3020 Franklin Park Dr, Sterling Heights, MI 48310-2477 2020-09-21
1982219556 Best Life Counseling Services, LLC Clinic/Center O-745 Lake Michigan Dr Nw, Grand Rapids, MI 49534-6795 2020-09-10
1780297879 Grisham Services Inc. Clinic/Center 710 Chippewa Sq Ste 206, Marquette, MI 49855-4823 2020-08-28
1518579655 Self Preservation Through Recovery Independence Transformation Guidanc Clinic/Center 21225 Kelly Rd Ste 5, Eastpointe, MI 48021-3100 2020-08-19
1639789688 Itherapygenx, Pllc Clinic/Center 31701 Grandview Ave, Westland, MI 48186-8958 2020-08-05
1619595832 Peace of Mind, LLC Clinic/Center 41750 Foster Dr Unit 204, Novi, MI 48375-1976 2020-07-14
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Competitor

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City ROYAL OAK
Zip Code 48067

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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