Soul-Full Presence Llc

LBN: Soul-Full Presence Llc
Soul-Full Presence Llc is an health care organization with primary practice located at 101 W Park Pl , Middletown DE 19709-1324. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Soul-Full Presence Llc can be contacted via phone (443) 617-5152, or through Desrosiers, Jessica L. L. via phone (443) 617-5152.

Contact Information

Primary practice address
101 W Park Pl Middletown DE 19709-1324
Phone: (443) 617-5152
Fax: (302) 376-6145
Website:
Map and Directions
Authorized official contact:
Name: Desrosiers, Jessica L. L. PSY.D.
Phone: (443) 617-5152

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1871161190
LBN Legal business name Soul-Full Presence Llc
DBA Doing business as
Authorized official Desrosiers, Jessica L. L. PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2021
Last updated Jun 14th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871161190 NPPES
Delaware Other 1003096595 MEDICARE
Delaware Other 471526 MEDICARE

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