Healthcare Provider Details

I. General information

NPI: 1538849393
Provider Name (Legal Business Name): SOULUTIONS THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2023
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8333 CASS ST
OMAHA NE
68114-3529
US

IV. Provider business mailing address

8333 CASS ST
OMAHA NE
68114-3529
US

V. Phone/Fax

Practice location:
  • Phone: 402-940-7387
  • Fax: 402-702-0538
Mailing address:
  • Phone: 402-940-7387
  • Fax: 402-702-0538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JANE POTTER
Title or Position: OWNER, MENTAL HEALTH PROVIDER
Credential: MS.LIMSW, LIMHP
Phone: 712-310-5231