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

Soul Surgery LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1871026674

Soul Surgery LLC is an Addiction (Substance Use Disorder) Counselor in Scottsdale, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
Specialties on file
6
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

14362 N Frank Lloyd Wright #B111
Scottsdale, AZ 85260
Phone: (480) 912-3105
Fax: (480) 912-3106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence OTC7755 (AZ)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence OTC8541 (AZ)
Adult Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0809X · Licence OTC7755 (AZ)
Adult Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0809X

Record details

NPI number1871026674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Regina Shakespeare — Billing Compliance Officer · (928) 554-5633
NPI enumeratedApril 7, 2017
Last updated in NPPESJanuary 31, 2020
Certification dateJanuary 31, 2020
Mailing address14362 N. Frank Lloyd Wright, B111, Scottsdale, AZ 85260

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