Organization Active NPI

Soma Haven Trauma Therapy LLC

  • Mental Health Counselor
  • Longwood, FL
National Provider Identifier
1750289302
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SOMA HAVEN TRAUMA THERAPY LLC
Practice address
587 E State Road 434 Unit 2021
Longwood, FL 32750-5283
Phone
(407) 558-8881
NPI assigned
Oct 26, 2026
Last updated
Oct 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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

Authorized official

Name
Zulma GrijalbaNPI 1871327742
Title
Owner
Phone
(407) 558-8881

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

587 E State Road 434 Unit 2021
Longwood, FL 32750-5283

Mailing address

587 E State Road 434 Unit 2021
Longwood, FL 32750-5283
Phone (407) 558-8881

National Provider Directory

National Provider Directory

Locations

587 E State Road 434
Unit 2021
Longwood, FL 32750

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": "1792972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792972800000",
    "number": "1750289302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 E STATE ROAD 434 UNIT 2021",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505283",
            "telephone_number": "407-558-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 E STATE ROAD 434 UNIT 2021",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505283",
            "telephone_number": "407-558-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA HAVEN TRAUMA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-26",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A",
        "authorized_official_last_name": "GRIJALBA",
        "authorized_official_first_name": "ZULMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-558-8881"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; 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.