Organization Active NPI

Let Your Soul Evolve, LLC.

  • Mental Illness Community Based Residential Treatment Facility
  • Delray Beach, FL
National Provider Identifier
1326489410
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
LET YOUR SOUL EVOLVE, LLC.
Practice address
900 Linton Blvd Ste 122B
Delray Beach, FL 33444-8165
Phone
(561) 628-6651
NPI assigned
Jul 17, 2013
Last updated
Jul 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Paul AllevaNPI 1629551155
Title
Ceo
Phone
(561) 628-6651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

900 Linton Blvd Ste 122B
Delray Beach, FL 33444-8165

Mailing address

900 Linton Blvd Ste 122B
Delray Beach, FL 33444-8165
Phone (561) 628-6651

National Provider Directory

National Provider Directory
Tax ID family
Let Your Soul Evolve 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.

Locations

900 Linton Blvd
Ste 122B
Delray Beach, FL 33444
Phone (561) 628-6651

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1326489410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LINTON BLVD STE 122B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334448165",
            "telephone_number": "561-628-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LINTON BLVD STE 122B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334448165",
            "telephone_number": "561-628-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LET YOUR SOUL EVOLVE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "ALLEVA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-628-6651"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.