P Praxis·MD
● Active Type 2 · Organization

Self-Soulstice, Llc

Counselor·Statesboro, GA· NPI 1477959807 · Enumerated 2014 · 11 years on NPI
Self-Soulstice, Llc is 1 of 7547 counselor organizations in Georgia.
NPI age
11 years
Enumerated 2014-11-12
Primary specialty
Counselor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bates
Owner
Last NPPES update
2014-11-12
Source: monthly bulk 2026-05

How this organization compares

Across 7547 active counselor providers in Georgia.

NPI age
11 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2014 → 2026

2014-11Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
114 N College St
Statesboro, GA 304585309
📞 9127557069fax 9124809733
Mailing address
111 Hawthorne Rd
Statesboro, GA 304586003
📞 9127557069fax 9124809733

Authorized official

D Dionne Bates, PHD
Owner
📞 9127557069

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC005007 taxonomy 101YP2500X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

Provyx · Custom healthcare lists

Need all 7547 Counselor providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related