Let Your Soul Evolve, LLC.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

LET YOUR SOUL EVOLVE, LLC.

Practice address

4723 W Atlantic Ave
Suite a-21
Delray Beach, FL 33445-3895

Phone

(561) 628-6651

NPI assigned

Nov 17, 2016

Organization subpart

No

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

Authorized official

Name

Nicola Rajaram

Title

Billing Manager

Phone

(954) 272-6612

Specialties & licenses 1

Addresses

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.

• Let Your Soul Evolve, LLC.

  • Mental Illness Community Based Residential Treatment Facility
  • Delray Beach, FL
  • NPI 1326489410
  NPD tax ID

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1477095768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4723 W ATLANTIC AVE",
            "address_2": "SUITE A-11",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4723 W ATLANTIC AVE",
            "address_2": "SUITE A-21",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453895",
            "telephone_number": "561-628-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LET YOUR SOUL EVOLVE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "RAJARAM",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "954-272-6612"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Mary Leone, LCSW
• Warren Leong, MD
• Leonid Remenson MD PA
• David S Lerman, DPM
• Let Your Soul Evolve, LLC.
• Mark D. Levenson, D.D.S.
• Gary K Levenston, PH.D.
• Shemar Levers
• Alexander Levin
• Bruce S Levin, M.D.

• Mental Illness Community Based Residential Treatment Facility in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Mental Illness Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.