| Living Soul Of New York, Llc | |
|
3175 S Congress Ave Ste 204a Palm Springs FL 33461-2515 | |
| (561) 536-5888 | |
| (561) 828-9322 |
| Full Name | Living Soul Of New York, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3175 S Congress Ave Ste 204a, Palm Springs, Florida |
| Authorized Official Name and Position | Widline Pierre (MGM) |
| Authorized Official Contact | 5615365888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Soul Of New York, Llc 3175 S Congress Ave Ste 204a Palm Springs FL 33461-2515 Ph: (561) 572-6773 | Living Soul Of New York, Llc 3175 S Congress Ave Ste 204a Palm Springs FL 33461-2515 Ph: (561) 536-5888 |
| NPI Number | 1528799574 |
|---|---|
| Provider Enumeration Date | 06/21/2022 |
| Last Update Date | 06/21/2022 |
| Certification Date | 06/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528799574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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