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Soul Gate Inc
Mental Health Counselor in Miami Beach, Florida
NPI 1710105481

Soul Gate Inc is a Mental Health Counselor based in Miami Beach, FL and is specialized in Mental Health. Soul Gate Inc practices in Miami Beach, FL. The NPI Number for Soul Gate Inc is 1710105481 and holds a License No. MH0005080 (Florida).

The current practice location address for Soul Gate Inc is 7135 Collins Ave, Miami Beach, FL and can be reached out via phone at 305-672-1589 and via fax at 305-672-1589.

Location: 7135 Collins Ave, Miami Beach, FL, 33141-3238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710105481
Provider Name
Soul Gate Inc
Credential
Provider Entity Type
Organization
Address
7135 Collins Ave, Miami Beach, FL, 33141-3238
Phone Number
305-672-1589
Fax Number
305-672-1589
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z9902 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
7135 Collins Ave
City
Miami Beach
State
Florida
Zip
33141-3238
Phone Number
305-672-1589
Fax Number
305-672-1589
person
Provider Business Mailing Address Details
Address
7135 Collins Ave
City
Miami Beach
State
Florida
Zip
33141-3238
Phone Number
305-672-1589
Fax Number
305-672-1589
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH0005080 (Florida)
Definition
Definition to come...
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