Soulcial Sanctuary,LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

SOULCIAL SANCTUARY,LLC

Practice address

2051 Beacon Landing Cir
Orlando, FL 32824-4373

Phone

(407) 791-9693

NPI assigned

Feb 25, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charlette Thomas, MASTERS DEGREE

Title

Therapy/Mediation

Phone

(407) 791-9693

Specialties & licenses 1

Addresses

Other names 1

• Soulcial Sanctuary,LLC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1053878108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 BEACON LANDING CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328244373",
            "telephone_number": "407-791-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 BEACON LANDING CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328244373",
            "telephone_number": "407-791-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULCIAL SANCTUARY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CHARLETTE",
        "authorized_official_title_or_position": "THERAPY/MEDIATION",
        "authorized_official_telephone_number": "407-791-9693",
        "authorized_official_credential": "MASTERS DEGREE"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soulcial Sanctuary,LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Soulcial Sanctuary,LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alberto O Sotomayor, M.D.
• Jenny Carolina Sotomayor, RBT
• Marielis Sotomayor
• Brittany Alyssa Soucek, PA-C
• Janel P Soucie, PHARM.D.
• Larry Allen Soule, PT
• Terrence Russell Soule, DDS
• Soulphysio Wellness LLC
• Soulution-Focused Therapy & Coaching, LLC
• Sound Mind Behavioral Health

• Marriage & Family Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.