Organization · Type 2 NPI
Undivided Soul LLC
Professional Counselor · Watertown, CT
NPI number
1558809178
Active
Practice location
27 Siemon Company Dr Ste 315W
Watertown, CT 06795-2654
Fax (844) 436-9123
Other practice locations
- 969 W Main St Ste 2G, Waterbury, CT 06708-2666 · (203) 697-8983
- 26 Lakeview Dr, Bethlehem, CT 06751-1311 · (203) 697-8983
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 3103 (CT) |
Professional Counselor: Definition to come...
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About NPI 1558809178
Undivided Soul LLC's National Provider Identifier is 1558809178, issued on Feb 2, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Watertown, CT. The record was last updated on Dec 8, 2025.