SOUL ALCHEMY LLC
NPI 1356028468
Counselor - Mental Health in Grand Rapids, MI

Active since June 30, 2023
1324 LAKE DR SE STE 4, GRAND RAPIDS, MI 49506(616) 222-9857 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Soul Alchemy Llc NPPES

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

SOUL ALCHEMY LLC (NPI 1356028468) is a healthcare organization registered as a mental health in Grand Rapids, Michigan and active in the NPI registry since June 2023. The organization lists Mark Steven Walstrom, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1356028468
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSOUL ALCHEMY LLC
Location Address1324 LAKE DR SE STE 4Grand Rapids, MI 49506-1673
Mailing Address411 Paris Ave Se Apt 2Grand Rapids, MI 49503-5401 · (616) 633-2170
Organization SubpartNo
Authorized OfficialMark Steven WalstromPractice Manager · (616) 633-2170
Enumeration DateJune 30, 2023
NPPES CertifiedJune 29, 2023
NPI 1356028468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1324 LAKE DR SE STE 4, Grand Rapids, MI 49506

Group Practice 1

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 4

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

Registered Nurse (Community Health)
1324 LAKE DR SE STE 4
GRAND RAPIDS, MI 49506
Social Worker (Clinical)
1324 LAKE DR SE STE 4
GRAND RAPIDS, MI 49506
Social Worker (Clinical)
1324 LAKE DR SE STE 4
GRAND RAPIDS, MI 49506
Counselor (Mental Health)
1324 LAKE DR SE STE 4
GRAND RAPIDS, MI 49506

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 Alchemy LLC's NPI number?

The NPI number for Soul Alchemy LLC is 1356028468. It was assigned to this organization in the NPPES registry on June 30, 2023.

Where is Soul Alchemy LLC located?

Soul Alchemy LLC is located at 1324 Lake Dr SE Ste 4, Grand Rapids, MI 49506. The listed phone number is (616) 222-9857.

What is Soul Alchemy 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 Alchemy LLC was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.