Provider Demographics
NPI:1093504557
Name:SOULCARE STUDIOS, LLC
Entity type:Organization
Organization Name:SOULCARE STUDIOS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL-FORD
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:510-301-6166
Mailing Address - Street 1:8035 SOQUEL DR STE 35
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-3948
Mailing Address - Country:US
Mailing Address - Phone:510-301-6166
Mailing Address - Fax:
Practice Address - Street 1:8035 SOQUEL DR STE 35
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3948
Practice Address - Country:US
Practice Address - Phone:510-301-6166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)