| Integrated Soul Care Consultants Llc | |
|
8400 N University Dr Ste 212 Tamarac FL 33321-1700 | |
| (954) 588-8303 | |
| Not Available |
| Full Name | Integrated Soul Care Consultants Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 8400 N University Dr Ste 212, Tamarac, Florida |
| Authorized Official Name and Position | Cynthia Veronica Somers (OWNER) |
| Authorized Official Contact | 9545888303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Soul Care Consultants Llc 4522 Nw 48th Ter Tamarac FL 33319-3619 Ph: (954) 588-8303 | Integrated Soul Care Consultants Llc 8400 N University Dr Ste 212 Tamarac FL 33321-1700 Ph: (954) 588-8303 |
| NPI Number | 1306682190 |
|---|---|
| Provider Enumeration Date | 07/02/2024 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/31/2024 |
| Medicare PECOS PAC ID | 8022556521 |
|---|---|
| Medicare Enrollment ID | O20240815000709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306682190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Cynthia Somers |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609280957 PECOS PAC ID: 9931647435 Enrollment ID: I20240815001152 |
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