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SOUL SPARK COUNSELING & CONSULT, LLC
NPI 1205541000
Counselor - Mental Health in Ocean Springs, MS

Active since January 17, 2023
2112 BIENVILLE BLVD STE M1, OCEAN SPRINGS, MS 39564(601) 385-5638(228) 366-9056 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2024, Mar 27, 2023, Mar 16, 2023 and 1 more (4 updates tracked since 2023).

About Soul Spark Counseling & Consult, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUL SPARK COUNSELING & CONSULT, LLC (NPI 1205541000) is a healthcare organization registered as a mental health in Ocean Springs, Mississippi and active in the NPI registry since January 2023. The organization maintains a secondary practice location in Gulfport and lists Mary Dodson, Manager, as its authorized official.

NPPES Registry Identity

NPI1205541000
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSOUL SPARK COUNSELING & CONSULT, LLC
Location Address2112 BIENVILLE BLVD STE M1Ocean Springs, MS 39564-3027
Mailing Address14205 S Country Hills DrGulfport, MS 39503-2518 · (985) 774-4076
Phone(601) 385-5638
Fax(228) 366-9056
Organization SubpartNo
Authorized OfficialMary DodsonManager · (985) 774-4076
Enumeration DateJanuary 17, 2023
Last NPPES UpdateJuly 18, 20244 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1205541000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
2112 BIENVILLE BLVD STE M1, Ocean Springs, MS 39564
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Secondary Practice Location 1

Location 114205 S Country Hills DrGulfport, MS 39503-2518 · Phone (985) 774-4076

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY N HAFFEY LCSW
Social Worker (Clinical)
2112 BIENVILLE BLVD STE M1
OCEAN SPRINGS, MS 39564
Jackson County (616) 826-4800
REVIVE HEALTH AND WELLNESS, LLC
Clinic/Center (Primary Care)
2112 BIENVILLE BLVD STE M1
OCEAN SPRINGS, MS 39564
Jackson County (228) 324-5347

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soul Spark Counseling & Consult, LLC's NPI number?

The NPI number for Soul Spark Counseling & Consult, LLC is 1205541000. It was assigned to this organization in the NPPES registry on January 17, 2023.

Where is Soul Spark Counseling & Consult, LLC located?

Soul Spark Counseling & Consult, LLC is located at 2112 Bienville Blvd Ste M1, Ocean Springs, MS 39564. The listed phone number is (601) 385-5638.

What is Soul Spark Counseling & Consult, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Soul Spark Counseling & Consult, LLC was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.