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SOULSPACE COUNSELING LLC
NPI 1811726482
Counselor - Professional in Waterford, CT

Active since July 31, 2024
28 ROSELEAH DR, WATERFORD, CT 06385(860) 941-4743(860) 941-4743 Get Directions Write a Review

NPPES record last updated: August 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Soulspace Counseling Llc NPPES

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

SOULSPACE COUNSELING LLC (NPI 1811726482) is a healthcare organization registered as a professional in Waterford, Connecticut and active in the NPI registry since July 2024. The organization maintains a secondary practice location in Groton and lists Mariah Fairley, Owner, as its authorized official.

NPPES Registry Identity

NPI1811726482
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSOULSPACE COUNSELING LLC
Location Address28 ROSELEAH DRWaterford, CT 06385-4310
Mailing Address28 Roseleah DrWaterford, CT 06385-4310 · (860) 941-4743 · Fax (860) 941-4743
Phone(860) 941-4743
Fax(860) 941-4743
Organization SubpartNo
Authorized OfficialMariah FairleyOwner · (860) 941-4743
Enumeration DateJuly 31, 2024
Last NPPES UpdateAugust 4, 2024
NPPES CertifiedAugust 4, 2024
✔ NPI 1811726482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
28 ROSELEAH DR, Waterford, CT 06385
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Secondary Practice Location 1

Location 1554 Long Hill RdGroton, CT 06340-4170 · Phone (860) 941-4743

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

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 Soulspace Counseling LLC's NPI number?

The NPI number for Soulspace Counseling LLC is 1811726482. It was assigned to this organization in the NPPES registry on July 31, 2024.

Where is Soulspace Counseling LLC located?

Soulspace Counseling LLC is located at 28 Roseleah Dr, Waterford, CT 06385. The listed phone number is (860) 941-4743.

What is Soulspace Counseling 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 Soulspace Counseling LLC was last updated on August 4, 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.