Soul Apothecary, LLC
NPI 1417699471 · Adult Mental Health Clinic/Center · O Fallon, IL
Soul Apothecary, LLC is a Adult Mental Health Clinic/Center organization in O Fallon, IL (NPI 1417699471).
Provider details
- NPI number
- 1417699471
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mallory Prindable, Mental Health Therapist/Owner(618) 292-8964
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2022-04-11
- Last updated
- 2023-01-09
- Certified
- 2023-01-09
Frequently asked questions
- What is Soul Apothecary, LLC's NPI number?
- Soul Apothecary, LLC's National Provider Identifier (NPI) is 1417699471, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Soul Apothecary, LLC?
- Soul Apothecary, LLC is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Soul Apothecary, LLC located?
- Soul Apothecary, LLC's practice location on file with NPPES is 787 Sunset Blvd, O Fallon, IL 62269-1960.
- What is Soul Apothecary, LLC's phone number?
- The practice phone number listed in the NPPES registry for Soul Apothecary, LLC is (618) 292-8964.
- Who is the authorized official for Soul Apothecary, LLC?
- The authorized official listed on Soul Apothecary, LLC's NPPES record is Mallory Prindable, Mental Health Therapist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Soul Apothecary, LLC's NPI active?
- Yes — Soul Apothecary, LLC's NPI (1417699471) is active in the NPPES registry as of the last update on 2023-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.