Soubliere, Sarabeth Ruth

Soubliere, Sarabeth Ruth is an sole proprietor health care provider with primary practice located at 876 Riverside Dr , Ormond Beach FL 32176-7851. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Soubliere, Sarabeth Ruth can be contacted via phone (386) 631-3067.

Contact Information

Primary practice address
876 Riverside Dr Ormond Beach FL 32176-7851
Phone: (386) 631-3067
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Florida

Profile Details

NPI number 1164778486
LBN Legal business name Soubliere, Sarabeth Ruth
Credentials MS.ED, ITDS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2012
Last updated Jul 2nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164778486 NPPES
Florida MEDICAID 015103300

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