# SOULFUL SAGE COUNSELING LLC

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

## Provider details

- **NPI number:** 1366363244
- **Authorized official:** SHELBIE BOUCK LCMHC (OWNER)
- **Authorized official phone:** (801) 661-4388

## Contact information

- **Practice address:** 165 N 100 E STE 8, ST GEORGE, UT 84770-2505
- **Practice address phone:** (801) 661-4388
- **Mailing address:** 369 N 2480 W, HURRICANE, UT 84737-3511
- **Mailing address phone:** (801) 661-4388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2026
- **Last updated:** 07/24/2026
