SOULCIAL SANCTUARYLLC NPI 1053878108

NPI Information

  • NPI: 1053878108
  • Provider Name: SOULCIAL SANCTUARY,LLC
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Organization
  • Former Legal Business Name: SOULCIAL SANCTUARY,LLC
  • Address: 2051 BEACON LANDING CIR
    ORLANDO, FL
    ZIP 32824
  • Phone: (407) 791-9693

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NPI Details

SOULCIAL SANCTUARY,LLC is a marriage family therapist in Orlando, FL. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. SOULCIAL SANCTUARY,LLC NPI is 1053878108. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Soulcial Sanctuary,llc.

The provider's business location address is:

2051 BEACON LANDING CIR
ORLANDO, FL
ZIP 32824-373
Phone: (407) 791-9693

The provider's authorized official is Charlette Thomas .
The authorized official title is Therapy/mediation and has the following contact phone number (407) 791-9693.

The enumeration date for this NPI number is 2/25/2019 and was last updated on 3/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106H00000XMarriage & Family TherapistYes

What is NPI?

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This page was last updated on: 11/21/2025

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