| Soul Journey Matters Llc | |
|
7125 Fruitville Rd Unit 1214 Sarasota FL 34240-8957 | |
| (316) 461-5245 | |
| Not Available |
| Full Name | Soul Journey Matters Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7125 Fruitville Rd Unit 1214, Sarasota, Florida |
| Authorized Official Name and Position | Samantha Mangino (OWNER) |
| Authorized Official Contact | 3164615245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Journey Matters Llc 7125 Fruitville Rd Unit 1214 Sarasota FL 34240-8957 Ph: (316) 461-5245 | Soul Journey Matters Llc 7125 Fruitville Rd Unit 1214 Sarasota FL 34240-8957 Ph: (316) 461-5245 |
| NPI Number | 1396421665 |
|---|---|
| Provider Enumeration Date | 06/22/2023 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Medicare PECOS PAC ID | 8527422831 |
|---|---|
| Medicare Enrollment ID | O20230919002795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396421665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Samantha Mangino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073166757 PECOS PAC ID: 7911314745 Enrollment ID: I20210323002488 |
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