ULTIMATE SOUL PSYCH INC


Address: 2501 E Commercial Blvd Ste 211, Fort Lauderdale, FL 33308-4127
Phone: 9545335700

ULTIMATE SOUL PSYCH INC (NPI# 1124635669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124635669
Entity Type Organization
Organization Name ULTIMATE SOUL PSYCH INC
Practice Address 2501 E Commercial Blvd Ste 211
Fort Lauderdale
FL 33308-4127
Mailing Address 3300 N Palm Aire Dr Apt 107
Pompano Beach
FL 33069-4232
Practice Telephone 9545335700
Practice Fax Number 9543068484
Mailing Telephone 9546246929
Enumeration Date 2020-09-29
Last Update Date 2020-09-29
Authorized Official Name PROF. GABRIELA ALESSANDRA SEGNINI (PRESIDENT)
Authorized Official Telephone 9546246929
Authorized Official Credential LMHC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL FLORIDA LICENSE LMHC18408 01

Office Location

Street Address 2501 E COMMERCIAL BLVD STE 211
City FORT LAUDERDALE
State FL
Zip Code 33308-4127

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932512118 Justin Nepa Psychiatry & Neurology 2501 E Commercial Blvd Ste 211, Fort Lauderdale, FL 33308-4127 2014-06-05
1407484850 Kerlange Jean Julien Nurse Practitioner 2501 E Commercial Blvd Ste 211, Fort Lauderdale, FL 33308-4127 2020-03-31
1962997049 Rebecca Antoine Registered Nurse 2501 E Commercial Blvd Ste 211, Fort Lauderdale, FL 33308-4127 2018-06-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215558788 Marina Silva Ferreira Student in an Organized Health Care Education/Training Program Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 2020-05-06
1013538040 Mehak Bansal Student in an Organized Health Care Education/Training Program 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 2020-04-30
1285269266 Roman Castell Massage Therapist 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 2020-03-10
1124667969 Icarevip, Inc Internal Medicine 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 2019-12-26
1629612932 Lana A Simmonds Nurse Practitioner 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 2019-10-30
1063997260 Kneaded Therapy, Inc Physical Medicine & Rehabilitation 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 2018-10-03
1518452184 Colleen Lynn Culbertson Nurse Anesthetist, Certified Registered 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 2018-06-26
1962910562 Healing Therapy Center Pllc Social Worker Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 2018-01-17
1376066647 Carlos Jose Garcia Student in an Organized Health Care Education/Training Program 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 2017-07-19
1407381940 Heather Hickson Lac LLC Clinic/Center 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 2017-04-21
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275134066 Hyacinth Anne Morgan Counselor 1001 W Cypress Creek Rd Ste 302s, Fort Lauderdale, FL 33309-1950 2020-11-06
1871192203 Kamari L Pasley Counselor 1900 Nw 16th Ct, Fort Lauderdale, FL 33311-4639 2020-10-17
1134746829 Chinyere Tunsill Counselor 1000 Long Island Ave, Fort Lauderdale, FL 33312-2674 2020-06-29
1750906848 Darcy Holm Counselor 3000 N Federal Hwy Ste 5, Fort Lauderdale, FL 33306-1416 2020-06-15
1356977078 Herz Counseling Group, LLC Counselor 4390 N Federal Hwy Ste 208, Fort Lauderdale, FL 33308-5200 2020-03-13
1558997346 Paulina Scaturro Counselor 4413 Ne 21st Ave, Fort Lauderdale, FL 33308-5603 2020-03-12
1144855925 Victoria Baca Counselor 501 Ne 5th Ter Apt 314, Fort Lauderdale, FL 33301-0014 2020-03-11
1184254476 Shaira A. Shah Counselor 2699 Stirling Rd Ste C307, Fort Lauderdale, FL 33312-6564 2020-01-25
1194364893 Jennifer Tiech Counselor 2901 W Cypress Creek Rd Ste 123124, Fort Lauderdale, FL 33309-1730 2019-12-27
1205475167 Tara Yombor Counselor 545 Sw 18th Ave Unit 34, Fort Lauderdale, FL 33312-7704 2019-12-24
Find all providers in FORT LAUDERDALE

Competitor

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City FORT LAUDERDALE
Zip Code 33308

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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