| Living Soul, Llc | |
|
3175 S Congress Ave Ste 204a Palm Springs FL 33461-2515 | |
| (561) 572-6773 | |
| Not Available |
| Full Name | Living Soul, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3175 S Congress Ave Ste 204a, Palm Springs, Florida |
| Authorized Official Name and Position | Widline Pierre (SCHOOL COUNSELOR) |
| Authorized Official Contact | 5615726773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Soul, Llc 4538 Emerald Vis Apt H352 Lake Worth FL 33461-7219 Ph: (561) 572-6773 | Living Soul, Llc 3175 S Congress Ave Ste 204a Palm Springs FL 33461-2515 Ph: (561) 572-6773 |
| NPI Number | 1407363203 |
|---|---|
| Provider Enumeration Date | 01/03/2018 |
| Last Update Date | 09/27/2022 |
| Certification Date | 09/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407363203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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