Healthcare Provider Details

I. General information

NPI: 1992478812
Provider Name (Legal Business Name): SOULFUL LIVING COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2021
Last Update Date: 02/19/2025
Certification Date: 02/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15821 N 2ND ST
BENNINGTON NE
68007-7424
US

IV. Provider business mailing address

15821 N 2ND ST
BENNINGTON NE
68007-7424
US

V. Phone/Fax

Practice location:
  • Phone: 402-217-6880
  • Fax:
Mailing address:
  • Phone: 402-217-6880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH JANE SHIELDS
Title or Position: MENTAL HEALTH THERAPIST
Credential: LIMHP
Phone: 402-217-6880