# SACRED SOUL CONSULTING & THERAPEUTIC SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205605128
- **Authorized official:** SHANA PLOUNT LCSW (OWNER/THERAPIST)
- **Authorized official phone:** (775) 404-5444

## Contact information

- **Practice address:** 20 N ADA ST, FALLON, NV 89406-2906
- **Practice address phone:** (775) 404-5444
- **Mailing address:** 2040 RENO HWY STE 433, FALLON, NV 89406-2772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2023
- **Last updated:** 02/28/2025
