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

Soul Spark Therapy & Coaching LLC

Organization Counselor · NPI 1710794359

Soul Spark Therapy & Coaching LLC is a Counselor in Jackson, Michigan. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
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

915 Airport Rd
Jackson, MI 49202-1872
Phone: (517) 798-6237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4830 Sequoia Dr, Jackson, MI 49201-8938 — (517) 798-6237

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1710794359
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Beth Houpt — Credentialing · (517) 676-9797
NPI enumeratedDecember 17, 2024
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing addressPo Box 10, Mason, MI 48854-0010

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