Provider Demographics
NPI:1518755263
Name:SOUL GOOD COUNSELING LLC
Entity type:Organization
Organization Name:SOUL GOOD COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WOLF
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, SAC
Authorized Official - Phone:608-822-5052
Mailing Address - Street 1:PO BOX 202
Mailing Address - Street 2:
Mailing Address - City:SHULLSBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53586-0202
Mailing Address - Country:US
Mailing Address - Phone:608-379-3338
Mailing Address - Fax:608-319-4579
Practice Address - Street 1:121 W WATER ST
Practice Address - Street 2:
Practice Address - City:SHULLSBURG
Practice Address - State:WI
Practice Address - Zip Code:53586
Practice Address - Country:US
Practice Address - Phone:608-379-3338
Practice Address - Fax:608-319-4579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty