Undivided Soul LLC
Counselor, Professional in Watertown, Connecticut
1558809178- Practice location
- 27 Siemon Company Dr Ste 315W, Watertown, CT 06795-2654
- Phone
- 203-697-8983
- Fax
- 844-436-9123
- Last updated
- December 8, 2025
Undivided Soul LLC is a healthcare organization based in Watertown, CT. Undivided Soul LLC practices in Watertown, CT. The NPI Number for Undivided Soul LLC is 1558809178 and holds a License No. 3103 (CT). The current practice location address for Undivided Soul LLC is 27 Siemon Company Dr Ste 315W, Watertown, CT 06795-2654 and can be reached out via phone at 203-697-8983 and via fax at 844-436-9123.
Provider Profile Details
- NPI Number
- 1558809178
- Provider Name
- Undivided Soul LLC
- Provider Entity Type
- Organization
- Address
- 27 Siemon Company Dr Ste 315W, Watertown, CT 06795-2654
- Phone Number
- 203-697-8983
- Fax Number
- 844-436-9123
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Organization Subpart
- No
- Authorized Official
- Kathryn Gelinas, LPC · Licensed Professional Counselor · 203-697-8983
- Provider Enumeration Date
- February 2, 2017
- Last Update Date
- December 8, 2025
- Certification Date
- December 8, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 27 Siemon Company Dr Ste 315W
Watertown, CT 06795-2654 - City
- Watertown
- State
- Connecticut
- Zip
- 06795-2654
- Phone Number
- 203-697-8983
- Fax Number
- 844-436-9123
Provider Business Mailing Address Details
- Address
- 27 Siemon Company Dr Ste 315W
Watertown, CT 06795-2654 - City
- Watertown
- State
- CT
- Zip
- 06795-2654
- Phone Number
- 203-697-8983
- Fax Number
- 844-436-9123
License Information
- License Number
- 3103
- License State
- CT
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Undivided Soul LLC?
The NPI number of Undivided Soul LLC is 1558809178. It was assigned on February 2, 2017 and is currently active in the NPPES registry.
What is the specialty of Undivided Soul LLC?
Undivided Soul LLC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 3103.
Where does Undivided Soul LLC practice?
The practice location is 27 Siemon Company Dr Ste 315W, Watertown, CT 06795-2654. The office can be reached at 203-697-8983 (phone) or 844-436-9123 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558809178 directly on the NPPES registry website.