SOPHIA WALDEN (NPI# 1497226500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497226500 |
| Entity Type | Individual |
| Full Name | SOPHIA WALDEN |
| Practice Address |
531 Sw Nagle Pl Port Saint Lucie FL 34953-3157 |
| Practice Telephone | 7864006608 |
| Mailing Telephone | 7864006608 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 7864006608 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487172540 | Sophia Walden | Occupational Therapist | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 | 2017-09-08 |
| Street Address |
531 SW NAGLE PL |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip Code | 34953-3157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733720 | Paul Desantis | Optometrist | 1805 Gatlin Blvd, Port St. Lucie, FL 34953 | 2020-05-29 |
| 1174165997 | D&r Homehealthcare LLC | Technician | 1210 Southwest Santiago Avenue, Port Saint Lucie, Fl, FL 34953 | 2019-10-14 |
| 1023677630 | Physical Therapy Wellness Group | Clinic/Center | 519 Sw Nagle Place, Port Saint Lucie, FL 34953 | 2019-06-07 |
| 1063993699 | Bloom Firm, LLC | Home Health | 1714 Sw Cycle St, Port Saint Lucie, FL 34953 | 2018-08-22 |
| 1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
| 1730670555 | Susan May Thyme | Nurse Practitioner | 1762 Sw Choate St, Port Saint Lucie, FL 34953 | 2018-05-29 |
| 1164911301 | Viven Banks | Counselor | 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 | 2018-05-03 |
| 1205323441 | Katherine Monroig | Behavior Technician | 4557 Se Babylon St, Port Saint Lucie, FL 34953 | 2018-04-13 |
| 1528567583 | Roger Rene Trudel | Nurse Practitioner | 3686 Sw Carmody Street, Port St Lucie, FL 34953 | 2018-02-06 |
| 1801315502 | Metushela Nicolas | Adult Companion | 1112 Jennifer Ter, Port Saint Lucie, FL 34953 | 2017-09-13 |
| Find all providers in zip 34953 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667104 | Karissa Bolden | Counselor | 5776 Nw Zinnia St, Port Saint Lucie, FL 34986-3501 | 2020-07-28 |
| 1356967178 | Vanessa Saavedra Perez Rowe | Counselor | 7512 Nw Farnsworth Cir, Port Saint Lucie, FL 34987-3036 | 2020-06-17 |
| 1891317707 | Maria Lam | Counselor | 5854 Nw Fogel Ct, Port Saint Lucie, FL 34986-3827 | 2020-05-13 |
| 1215576327 | Kathryn Gayle Rogers | Counselor | 9668 Sw Chestwood Ave, Port Saint Lucie, FL 34987-2515 | 2020-01-06 |
| 1053958827 | Faith Sanders | Counselor | 1066 Sw Dartmouth Ave, Port Saint Lucie, FL 34953-8516 | 2019-11-29 |
| 1689220824 | Schillena Fervily | Counselor | 4481 Sw New Ct, Port Saint Lucie, FL 34953-5458 | 2019-08-14 |
| 1144876236 | Joanne Arroyo | Counselor | 2244 Se Trillo St, Port Saint Lucie, FL 34952-6872 | 2019-08-14 |
| 1568920148 | Theresa Brannigan | Counselor | 567 Nw Lake Whitney Pl Ste 105, Port Saint Lucie, FL 34986-1629 | 2019-03-04 |
| 1801350830 | Laverne Webber | Counselor | 3260 Sw Rosser Blvd, Port Saint Lucie, FL 34953-4719 | 2019-01-23 |
| 1063985125 | Ralph Glen Manning | Counselor | 289 Se Sagamore Terrace, Port Saint Lucie, FL 34983 | 2019-01-10 |
| Find all providers in PORT SAINT LUCIE | ||||
| City | PORT SAINT LUCIE |
| Zip Code | 34953 |
Please comment or provide details below to improve the information on SOPHIA WALDEN.
| 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.