=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255290169
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SOULFUL HEALING COUNSELING SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/16/2026
-----------------------------------------------------
Last Update Date | 01/16/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1602 100TH AVE S
-----------------------------------------------------
City | HORACE
-----------------------------------------------------
State | ND
-----------------------------------------------------
Zip | 58047-9711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 701-367-5996
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1602 100TH AVE S
-----------------------------------------------------
City | HORACE
-----------------------------------------------------
State | ND
-----------------------------------------------------
Zip | 58047-9711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COUNSELOR
-----------------------------------------------------
Name | RACHEL THIEL
-----------------------------------------------------
Credential | LPCC
-----------------------------------------------------
Telephone | 701-367-5996
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------