{"npi":"1134546724","type":"NPI-2","status":"active","name":{"display":"Soul Solutions, PLLC","other":[],"organization_name":"SOUL SOLUTIONS, PLLC","authorised_official":"Shannon Williams"},"specialty":{"primary_taxonomy":"251S00000X","primary_taxonomy_description":"Community/Behavioral Health Agency","slug":"community-behavioral-health-agency","schema_org_specialty":null,"all":[{"code":"251S00000X","description":"Community/Behavioral Health Agency","primary":true,"state":"TX","license":"66084"}]},"addresses":[{"purpose":"LOCATION","street_1":"107 W MAIN","city":"TRINITY","state":"TX","postal_code":"758620000","country_code":"US","phone":"4092831974","fax":"9362287994"},{"purpose":"MAILING","street_1":"6858 KINGSTON COVE LN","city":"WILLIS","state":"TX","postal_code":"773189121","country_code":"US","phone":"4092831974","fax":"9362287994"}],"license":{"state":"TX","number":"66084"},"identifiers":[{"type_code":"01","label":"Other","value":"2303810","state":"TX","issuer":"COMPSYCH"},{"type_code":"05","label":"Medicaid","value":"323797601","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"12618131","state":"TX","issuer":"CAQH ID"},{"type_code":"05","label":"Medicaid","value":"323797602","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"9203LL","state":"TX","issuer":"BLUE CROSS BLUE CHIELD OF TX"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2014-03-21","last_updated":"2014-03-21","_meta":{"source":"NPPES","snapshot_date":"2014-03-21","doc_url":"https://findmynpi.com/api"}}