Ultimate Soul Psych INC
Counselor, Mental Health in Fort Lauderdale, FL. Organization (NPI-2).
NPI number1124635669
StatusActive
Last updated in NPPESMay 25, 2021
Details
- NPI
- 1124635669
- Entity type
- Organization (NPI-2)
- Legal business name
- Ultimate Soul Psych INC
- Organization subpart
- No
- Enumeration date
- Sep 29, 2020
- Certification date
- May 25, 2021
- Last updated
- May 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2598 E Sunrise Blvd Ste 2104Fort Lauderdale, FL 33304-3230
Phone 754-300-7001
Mailing address
2598 E Sunrise Blvd Ste 2104Fort Lauderdale, FL 33304-3230
Phone 754-300-7001
Authorized official
Gabriela Alessandra Segnini
President
9546246929
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