Organization Active NPI

Little Souls Therapy

  • Developmental Therapist
  • Melbourne, FL
National Provider Identifier
1174342604
Registry record updated Dec 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
LITTLE SOULS THERAPY
Practice address
4602 Crew Cir Apt 8
Melbourne, FL 32904-8441
Phone
(321) 522-7011
NPI assigned
Oct 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2024

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

Authorized official

Name
Gaelu Janice Echeverria Lugo
Title
Owner Manager
Phone
(321) 522-7011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 222Q00000X Primary

Addresses

Primary practice location

4602 Crew Cir Apt 8
Melbourne, FL 32904-8441

Mailing address

4602 Crew Cir Apt 8
Melbourne, FL 32904-8441
Phone (321) 522-7011

Other names 1

  • Little Souls Therapy Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733011200000",
    "number": "1174342604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 CREW CIR APT 8",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329048441",
            "telephone_number": "321-522-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 CREW CIR APT 8",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329048441",
            "telephone_number": "321-522-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SOULS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-12-01",
        "certification_date": "2024-12-01",
        "status": "A",
        "authorized_official_last_name": "ECHEVERRIA LUGO",
        "authorized_official_first_name": "GAELU",
        "authorized_official_middle_name": "JANICE",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "321-522-7011"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Souls Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2024; 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.