Soul Spark Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUL SPARK THERAPY LLC

Practice address

140 Sepp Rd
Debary, FL 32713-3914

Phone

(407) 588-7244

NPI assigned

Jul 9, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca Ruh, LMHC, NCCNPI 1669236212

Title

Licensed Mental Health Counselor

Phone

(407) 588-7244

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Rebecca Ruh, MA, LMHC, NCC

  • Mental Health Counselor
  • Winter Park, FL
  • NPI 1669236212
  NPD Authorized official

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1699512681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 EDGEWATER DR # 1732",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SEPP RD",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327133914",
            "telephone_number": "407-588-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL SPARK THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "RUH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "407-588-7244",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1669236212",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smile Center of Debary, LLC
• Alysha Smythe
• So Serene Massage Day Spa
• Mary Elizabeth Sottrel, LMHC, CAP
• Veronica Marie Souba, RBT
• Sovereign Healthcare of Orange City, LLC
• Spahana Health, Inc.
• Daniel Specian
• Speechskills, LLC
• Hayley Marie Spriggs, MT-BC

• Community/Behavioral Health Agency in Debary, FL
• Providers in Debary, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.