NPIMap

Organization Active NPI

Living Soul, LLC

  • Behavior Analyst
  • Palm Springs, FL
National Provider Identifier
1407363203
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LIVING SOUL, LLC
Practice address
3175 S Congress Ave Ste 204a
Palm Springs, FL 33461-2515
Phone
(561) 572-6773
NPI assigned
Jan 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Widline PierreNPI 1669713129
Title
School Counselor
Phone
(561) 572-6773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3175 S Congress Ave Ste 204a
Palm Springs, FL 33461-2515

Mailing address

4538 Emerald Vis Apt H352
Lake Worth, FL 33461-7219
Phone (561) 572-6773

National Provider Directory

National Provider Directory

Locations

2969 W Midway Rd
Fort Pierce, FL 34981
Phone (561) 572-6773

Practitioners & affiliated clinicians

Practitioners 3

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": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1407363203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4538 EMERALD VIS APT H352",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334617219",
            "telephone_number": "561-572-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 S CONGRESS AVE STE 204A",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612515",
            "telephone_number": "561-572-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING SOUL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "WIDLINE",
        "authorized_official_title_or_position": "SCHOOL COUNSELOR",
        "authorized_official_telephone_number": "561-572-6773"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.