Soho Wellness Initiative, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SOHO WELLNESS INITIATIVE, LLC

Practice address

4801 S Congress Ave
Suite 120
Lake Worth, FL 33461-4746

Phone

(754) 779-1830

NPI assigned

Sep 16, 2015

Organization subpart

No

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

Authorized official

Name

Todd M. Ross

Title

Owner

Phone

(212) 696-0101

Specialties & licenses 1

Addresses

Tax ID family

Soho Wellness Initiative LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Soho Wellness Initiative, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lake Worth, FL
  • NPI 1558719526
  NPD tax ID

Locations

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1326417676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S CONGRESS AVE",
            "address_2": "SUITE 120",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614746",
            "telephone_number": "754-779-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S CONGRESS AVE",
            "address_2": "SUITE 120",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614746",
            "telephone_number": "754-779-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHO WELLNESS INITIATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-696-0101"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Smith, LCSW
• Terence Kevin Smith Jr., PHARMD
• Chelsea Snyder, MS, CCC-SLP
• Roxana Sobrino Jimenez
• Socal Wellness Inc
• Soho Wellness Initiative, LLC
• Elena Yuryevna Sokolova, MD
• Carlos Manuel Solano Almonte
• Lisbeth Soler de Marco, PA-C
• Lauren Solomon, LCSW

• Substance Use Disorder Rehabilitation Clinic/Center in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.