Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Soul Apothecary, LLC

Organization Adult Mental Health Clinic/Center · NPI 1417699471

Soul Apothecary, LLC is an Adult Mental Health Clinic/Center in O Fallon, Illinois. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

787 Sunset Blvd
O Fallon, IL 62269-1960
Phone: (618) 292-8964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1417699471
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mallory Prindable — Mental Health Therapist/Owner · (618) 292-8964
NPI enumeratedApril 11, 2022
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 9, 2023
Mailing address306 Emily Cir, O Fallon, IL 62269-1301

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