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SOUL GROWTH LLC
NPI 1417469115
Clinic/Center - Mental Health (Including Community Mental Health Center) in Salt Lake City, UT

Active since November 02, 2017
1719 S MAIN ST, SALT LAKE CITY, UT 84115(307) 389-8044 Get Directions Write a Review

NPPES record last updated: November 14, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2017, Nov 2, 2017 (2 updates tracked since 2017).

About Soul Growth Llc NPPES

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

SOUL GROWTH LLC (NPI 1417469115) is a healthcare organization registered as a mental health (including community mental health center) in Salt Lake City, Utah and active in the NPI registry since November 2017. The organization lists Jessica L Vasa, Mental Health Clinician, as its authorized official.

NPPES Registry Identity

NPI1417469115
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSOUL GROWTH LLC
Location Address1719 S MAIN STSalt Lake City, UT 84115-1911
Mailing Address2011 S 2100 E Apt 306Salt Lake City, UT 84108-3176 · (307) 389-8044
Phone(307) 389-8044
Organization SubpartNo
Authorized OfficialJessica L VasaMental Health Clinician · (307) 389-8044
Enumeration DateNovember 2, 2017
Last NPPES UpdateNovember 14, 20172 updates tracked since enumeration
✔ NPI 1417469115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in UT · 10492016-3501
1719 S MAIN ST, Salt Lake City, UT 84115
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Other Providers at the Same Location NPPES 7

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

MR. WILLIAM HOLT SCHNEIDER
Social Worker (Clinical)
1719 S MAIN ST
SALT LAKE CITY, UT 84115
Salt Lake County (385) 528-2950
JOSH BLANKENSHIP
Social Worker (Clinical)
1719 S MAIN ST
SALT LAKE CITY, UT 84115
Salt Lake County (385) 528-2950
DEMPSEY ALISE FOGARTY
Social Worker (Clinical)
1719 S MAIN ST
SALT LAKE CITY, UT 84115
Salt Lake County (385) 528-2950
ALLY COUNSELING, LLC
Social Worker (Clinical)
1719 S MAIN ST
SALT LAKE CITY, UT 84115
Salt Lake County (801) 557-0958
CANDACE CURZON LCSW
Social Worker (Clinical)
1719 S MAIN ST
SALT LAKE CITY, UT 84115
Salt Lake County (801) 557-0635
RALEIGH RAMOS
Counselor (Mental Health)
1719 S MAIN ST
SALT LAKE CITY, UT 84115
Salt Lake County (385) 528-2950
FULL CIRCLE YOGA AND THERAPY PLLC
Community/Behavioral Health
1719 S MAIN ST
SALT LAKE CITY, UT 84115
Salt Lake County (385) 528-2950

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 Growth LLC's NPI number?

The NPI number for Soul Growth LLC is 1417469115. It was assigned to this organization in the NPPES registry on November 2, 2017.

Where is Soul Growth LLC located?

Soul Growth LLC is located at 1719 S Main St, Salt Lake City, UT 84115. The listed phone number is (307) 389-8044.

What is Soul Growth LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Soul Growth LLC was last updated on November 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.