Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SOUL CARE, PLLC
Active
Organization
SOUL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTELLE M. JOHNSON MA, LCMHC-S, LCPC (CLINICAL DIRECTOR/OWNER)
(980) 613-8312
Entity
Organization
Contact information
Practice address
5501 EXECUTIVE CENTER DR STE 215, CHARLOTTE, NC 28212-8823
(980) 613-8312
(888) 972-4998
Mailing address
3695 SUNSET AVE UNIT 8936, ROCKY MOUNT, NC 27804-0286
(980) 613-8312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
7710
NC
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/08/2010
Last updated
11/22/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up