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SELF-SOULSTICE, LLC
NPI 1477959807
Counselor - Professional in Statesboro, GA

Active since November 12, 2014
114 N COLLEGE ST, STATESBORO, GA 30458(912) 755-7069(912) 480-9733 Get Directions Write a Review

NPPES record last updated: November 12, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Self-soulstice, Llc NPPES

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

SELF-SOULSTICE, LLC (NPI 1477959807) is a healthcare organization registered as a professional in Statesboro, Georgia and active in the NPI registry since November 2014. The organization lists D Dionne Bates, Owner, as its authorized official.

NPPES Registry Identity

NPI1477959807
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSELF-SOULSTICE, LLC
Location Address114 N COLLEGE STStatesboro, GA 30458-5309
Mailing Address111 Hawthorne RdStatesboro, GA 30458-6003 · (912) 755-7069 · Fax (912) 480-9733
Phone(912) 755-7069
Fax(912) 480-9733
Organization SubpartNo
Authorized OfficialD Dionne BatesOwner · (912) 755-7069
Enumeration DateNovember 12, 2014
✔ NPI 1477959807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC005007
114 N COLLEGE ST, Statesboro, GA 30458
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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 2

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

APRIL MICHELLE SCHUETHS LCSW
Social Worker (Clinical)
114 N COLLEGE ST
STATESBORO, GA 30458
Bulloch County (912) 266-8830
APRIL M SCHUETHS LLC
Community/Behavioral Health
114 N COLLEGE ST
STATESBORO, GA 30458
Bulloch County (912) 266-8830

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 Self-Soulstice, LLC's NPI number?

The NPI number for Self-Soulstice, LLC is 1477959807. It was assigned to this organization in the NPPES registry on November 12, 2014.

Where is Self-Soulstice, LLC located?

Self-Soulstice, LLC is located at 114 N College St, Statesboro, GA 30458. The listed phone number is (912) 755-7069.

What is Self-Soulstice, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Self-Soulstice, LLC was last updated on November 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.