Soul Sanctuary LLC
Counselor, Mental Health in Sarasota, FL. Organization (NPI-2).
NPI number1962044685
StatusActive
Last updated in NPPESOct 14, 2019
Details
- NPI
- 1962044685
- Entity type
- Organization (NPI-2)
- Legal business name
- Soul Sanctuary LLC
- Organization subpart
- No
- Enumeration date
- Oct 14, 2019
- Last updated
- Oct 14, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
534 S Pineapple Ave Ste 5Sarasota, FL 34236-7024
Phone 941-312-1881
Mailing address
534 S Pineapple Ave Ste 5Sarasota, FL 34236-7024
Phone 941-312-1881
Authorized official
Salina R Martin
Owner
9413121881
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