Soul Growth LLC
NPI 1417469115 · Mental Health Clinic/Center (Including Community Mental Health Center) · Salt Lake City, UT
Soul Growth LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Salt Lake City, UT (NPI 1417469115).
Provider details
- NPI number
- 1417469115
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jessica Vasa, Mental Health Clinician(307) 389-8044
- License
- 10492016-3501 (UT)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 10492016-3501 (UT)
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-11-02
- Last updated
- 2017-11-14
Frequently asked questions
- What is Soul Growth LLC's NPI number?
- Soul Growth LLC's National Provider Identifier (NPI) is 1417469115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Soul Growth LLC?
- Soul Growth LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Soul Growth LLC located?
- Soul Growth LLC's practice location on file with NPPES is 1719 S Main St, Salt Lake City, UT 84115-1911.
- What is Soul Growth LLC's phone number?
- The practice phone number listed in the NPPES registry for Soul Growth LLC is (307) 389-8044.
- Who is the authorized official for Soul Growth LLC?
- The authorized official listed on Soul Growth LLC's NPPES record is Jessica Vasa, Mental Health Clinician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Soul Growth LLC's NPI active?
- Yes — Soul Growth LLC's NPI (1417469115) is active in the NPPES registry as of the last update on 2017-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.