MEDICARE: SOUL CARE PSYCHIATRY PLLC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1558220996
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUL CARE PSYCHIATRY PLLC

Provider Business Mailing Address
First Line	:	921 TOWN CENTRE BLVD # 1087
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27520-2181
Country	:	US
Telephone Number	:	919-628-0336
Fax Number	:

Provider Business Practice Location Address
First Line	:	609 ATTAIN STREET
Second Line	:	UNIT 101
City	:	FUQUAY-VARINA
State	:	NC
Zip	:	27526
Country	:	US
Telephone Number	:	919-628-0336
Fax Number	:

Authorized Official
Title or Position	:	PMHNP
Name	:	CHRISTY UZOERI
Credential	:	PMHNP
Telephone Number	:	434-865-3811

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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