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

Soulistic Medical Institute

Organization Clinical Psychologist · NPI 1215986104

Soulistic Medical Institute is a Clinical Psychologist in Tubac, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
2

Practice location Address checks out

26 Tubac Rd Ste B
Tubac, AZ 85646
Phone: (520) 398-3970
Fax: (520) 398-2944
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 27940 (AZ)
Clinical Psychologist Taxonomy 103TC0700X · Licence 3784 (AZ)

Record details

NPI number1215986104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marayeh Cunningham — Managing Director · (520) 398-3970
NPI enumeratedMay 8, 2006
Last updated in NPPESNovember 29, 2011
Mailing addressPo Box 1990, Tubac, AZ 85646-1990

Other providers in Tubac