Organization · Type 2 NPI
Soul Spark Therapy LLC
Community/Behavioral Health Agency · Debary, FL
Practice location
140 Sepp Rd
Debary, FL 32713-3914
Mailing address
1317 Edgewater Dr # 1732
Orlando, FL 32804-6350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | None listed |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
About NPI 1699512681
Soul Spark Therapy LLC's National Provider Identifier is 1699512681, issued on Jul 9, 2024. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Debary, FL. The record was last updated on Jul 9, 2024.