Healthcare Provider Details

I. General information

NPI: 1154250868
Provider Name (Legal Business Name): HEALTH FOR THE SOUL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7951 CALUMET AVE # 1243
MUNSTER IN
46321-1215
US

IV. Provider business mailing address

7951 CALUMET AVE # 1243
MUNSTER IN
46321-1215
US

V. Phone/Fax

Practice location:
  • Phone: 708-498-3454
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. JASMINE LATRICE WILLIAMS
Title or Position: MEMBER/OWNER
Credential: LMHC (IN), LCPC (IL)
Phone: 708-498-3454