OrganizationActive
Soulstice Therapeutic Solutions, LLC
NPI 1821545815 · Mental Health Clinic/Center (Including Community Mental Health Center) · Wauchula, FL
Provider details
- NPI number
- 1821545815
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Micah Hendrickson, Owner(863) 773-6573
- License
- MH13683 (FL)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense MH13683 (FL)
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
901 W Main St Ste 121
Wauchula, FL 33873-2532
Phone: (863) 773-6573
Street-level locationGet directions
Mailing address
Po Box 577
Wauchula, FL 33873-0577
Registry dates
- Enumerated
- 2016-09-07
- Last updated
- 2016-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.