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

Soul Sage, LLC

Organization Clinical Social Worker · NPI 1356998421

Soul Sage, LLC is a Clinical Social Worker in Boise, Idaho. Registered with an NPI since 2019.

In the registry since
2019
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

1617 W Jefferson St
Boise, ID 83702-5111
Phone: (208) 488-8864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1356998421
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Celeste Lacombe Nelson — Sole Mbr/ Owner · (208) 488-8864
NPI enumeratedAugust 22, 2019
Last updated in NPPESMarch 10, 2020
Certification dateMarch 10, 2020
Mailing address9683 W Homewood Dr, Boise, ID 83709-5334

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