Organization · NPI-2

Blissful Soul Therapy LLC

Social Worker, Clinical · Doral, FL

NPI number1245091370

StatusActive

Last updated in NPPESJan 16, 2024

Details

NPI: 1245091370
Entity type: Organization (NPI-2)
Legal business name: Blissful Soul Therapy LLC
Organization subpart: No
Enumeration date: Jan 16, 2024
Certification date: Jan 16, 2024
Last updated: Jan 16, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1041C0700X	Social Worker, Clinical	–	–	Yes
101Y00000X	Counselor	–	–
101YM0800X	Counselor, Mental Health	–	–
101YP2500X	Counselor, Professional	–	–
103TH0004X	Psychologist, Health	–	–
103TP2701X	Psychologist, Group Psychotherapy	–	–

Other names

Blissful Soul Therapy LLC (Doing Business As)

Practice location

4859 Nw 114th Ct
Doral, FL 33178-4833

Phone 305-926-6106

Mailing address

4859 Nw 114th Ct
Doral, FL 33178-4833

Phone 305-926-6106

Authorized official

Marjorie Dangla
Owner, Ceo
3059266106

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