Provider Demographics
NPI:1861715567
Name:SOUL MATTERS, LLC
Entity type:Organization
Organization Name:SOUL MATTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:BRADY
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, RN
Authorized Official - Phone:210-733-1164
Mailing Address - Street 1:305 E ASHBY PL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-3711
Mailing Address - Country:US
Mailing Address - Phone:210-733-1164
Mailing Address - Fax:210-736-6713
Practice Address - Street 1:305 E ASHBY PL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-3711
Practice Address - Country:US
Practice Address - Phone:210-733-1164
Practice Address - Fax:210-736-6713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65967101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty