SOULMINE LLC – NPI #1558180372
Clinic/Center

SOULMINE LLC is an AHC clinic located in KANSAS CITY, KS. NPPES has assigned the NPI number 1558180372 to SOULMINE LLC on October 08, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOULMINE LLC below.

NPI Profile for
SOULMINE LLC

NPI Number
1558180372
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOULMINE LLC
Primary location
1121 N. 5TH STREET
SUITE 109
KANSAS CITY, KS 66101
Phone: (913) 303-9868 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHANDRA GREEN
CEO / HEAD THERAPIST & FACILITATOR
Phone: (913) 303-9868
Updated
Certification Date
Oct 04, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
251K00000X
- Public Health or Welfare
106H00000X
- Marriage & Family Therapist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.