Healthcare Provider Details

I. General information

NPI: 1891628152
Provider Name (Legal Business Name): SOULCARE INTEGRATIVE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10395 STOLL RD
HASLETT MI
48840-9209
US

IV. Provider business mailing address

10395 STOLL RD
HASLETT MI
48840-9209
US

V. Phone/Fax

Practice location:
  • Phone: 517-505-0352
  • Fax: 517-323-9531
Mailing address:
  • Phone: 517-505-0352
  • Fax: 517-323-9531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY KING
Title or Position: LMSW
Credential: LMSW
Phone: 517-505-0352