MEDICARE: SODALIS MENTAL WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1508711557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SODALIS MENTAL WELLNESS LLC

Provider Business Mailing Address
First Line	:	1024 CHEYENNE AVE
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45503-6109
Country	:	US
Telephone Number	:	937-408-7912
Fax Number	:

Provider Business Practice Location Address
First Line	:	1024 CHEYENNE AVE
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45503-6109
Country	:	US
Telephone Number	:	937-408-7912
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR/CO-OWNER
Name	:	EMILY NEELY
Credential	:	LPCC-S
Telephone Number	:	937-408-7912

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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