SOUL JOURNEY THERAPY


Address: 167 Main St, Suite 207e, Brattleboro, VT 05301-7128
Phone: 8024516598

SOUL JOURNEY THERAPY (NPI# 1346645223) 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) 1346645223
Entity Type Organization
Organization Name SOUL JOURNEY THERAPY
Practice Address 167 Main St
Suite 207e
Brattleboro
VT 05301-7128
Mailing Address 167 Main St
Box 17
Brattleboro
VT 05301-7128
Practice Telephone 8024516598
Mailing Telephone 8024516598
Enumeration Date 2014-11-04
Last Update Date 2016-08-31
Authorized Official Name SUPRIYA SHANTI (FOUNDER, THERAPIST)
Authorized Official Telephone 8024516598
Authorized Official Credential LICSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health 089.009440 VT Agencies
Y 1041C0700X Social Worker
Specialization: Clinical
089.009440 VT Behavioral Health & Social Service Providers

Other Data Sources

Entity Type Entity Name Entity Address
Vermont Business Registrations SOUL JOURNEY THERAPY 24 Flat St Ste 201, Brattleboro, VT 05301

Office Location

Street Address 167 MAIN ST
SUITE 207E
City BRATTLEBORO
State VT
Zip Code 05301-7128

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548247570 William David Lax Psychologist 167 Main St, Suite 401, Brattleboro, VT 05301-7128 2005-12-30
1053860569 Diane Carol Hicks Social Worker 167 Main St, Suite 207-d, Brattleboro, VT 05301-7128 2016-09-26
1992152276 Green Mountain Counseling Associates Social Worker 167 Main St, Suite 207-d, Brattleboro, VT 05301-7128 2016-05-17
1811246226 Melissa Jane Hall Massage Therapist 167 Main St, Suite 410, Brattleboro, VT 05301-7128 2012-08-30
1407117369 Julieanna Marie Plummer-brunetto Registered Nurse 167 Main St, Office 310, Brattleboro, VT 05301-7128 2012-06-06
1487915351 Pinewood Tms Registered Nurse 167 Main St, Office 310, Brattleboro, VT 05301-7128 2012-06-06
1568772184 Tall Trees Associates Counselor 167 Main St, Suite 304, Brattleboro, VT 05301-7128 2010-10-16
1467781807 Patricia Lynn Dorris Acupuncturist 167 Main St, Suite 312, Brattleboro, VT 05301-7128 2009-12-14
1801088828 Judy Beryl Greenberg Psychologist 167 Main St, Brattleboro, VT 05301-7128 2007-08-14
1881714798 Theodore Edwin Walls Counselor 167 Main St, Suite 207-d, Brattleboro, VT 05301-7128 2007-04-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013575372 Roberta M. White Psychologist 72 Whetstone Rd, Brattleboro, VT 05301 2019-06-03
1225526940 Audrey Johnston Nurse Practitioner Brattleboro Family Medicine, 53 Fairview Street, Brattleboro, VT 05301 2018-04-27
1811349582 Jillian Barney Physician Assistant 17 Belmont Ave Richards Building (1st Floor), Barttleboro, VT 05301 2016-07-06
1326413899 Gabriella Neacsu Katz Nurse Practitioner 1860 Weatherhead Hollow Rd, Guilford, VT 05301 2015-12-09
1942608914 Kathryn Peterson Registered Nurse 105 Winter St Apt 2, Brattleboro, VT 05301 2014-12-08
1558762823 Saryn T Lauzon Registered Nurse 2 Maplewood Drive, Brattleboro, VT 05301 2014-09-05
1912248691 Robert Joseph Stack Counselor 1 Linden Street, Brattleboro, VT 05301 2013-03-06
1053651760 Christopher M. Deszynski Naturopath 73 Main St Ste 4, Brattleboro, VT 05301 2013-02-18
1518236355 Christine Hamrin Licensed Practical Nurse 54 Spruce Street, Brattleboro, VT 05301 2011-12-23
1881924934 Margrit C. Mikulis Naturopath 147 Orchard St, Brattleboro, VT 05301 2010-01-12
Find all providers in zip 05301

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073133831 Gwynn Yandow Social Worker 21 Robin Way, Brattleboro, VT 05301-4277 2020-04-22
1285939587 Richard Leo Doucet Social Worker 36 Park Pl Ste 101, Brattleboro, VT 05301-2802 2011-01-18
1003145772 Margaret B Shelby Social Worker 15 Strand Ave, Brattleboro, VT 05301-6220 2009-12-09
1730413667 Marina Gurman Social Worker 75 Moreland Ave # 3, Brattleboro, VT 05301-6384 2009-09-24
1376776765 Kristi Barnes Social Worker 167 Main St Ste 202, Brattleboro, VT 05301-3094 2009-09-01
1124257167 Sara Schoolwerth Donahue Social Worker 97 Winter St, Brattleboro, VT 05301-6666 2009-07-13
1851528954 Eli Burke Social Worker 47 Williston St, Brattleboro, VT 05301-5939 2009-06-16
1366687006 Killy J. Bascom Social Worker 36 Park Pl, Ste 101, Brattleboro, VT 05301-2802 2008-12-10
1932384823 Linda Reyman Heimerdinger Social Worker 131 Fairground Rd, Brattleboro, VT 05301-6328 2008-01-09
1992842447 Anne Mead Little Social Worker 55 Western Ave, Brattleboro, VT 05301-6093 2007-01-31
Find all providers in BRATTLEBORO

Competitor

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City BRATTLEBORO
Zip Code 05301

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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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