SOFLO STATE OF WELL-BEING LLC NPI 1215668041

NPI Information

  • NPI: 1215668041
  • Provider Name: SOFLO STATE OF WELL-BEING LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 308 W MANGO ST
    LANTANA, FL
    ZIP 33462
  • Phone: (954) 297-9802

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NPI Details

SOFLO STATE OF WELL-BEING LLC is a mental health (including community mental health center) clinic center in Lantana, FL. SOFLO STATE OF WELL-BEING LLC NPI is 1215668041. The provider is registered as an organization entity type.

The provider's business location address is:

308 W MANGO ST
LANTANA, FL
ZIP 33462-835
Phone: (954) 297-9802
Fax: (561) 431-5873

The provider's authorized official is Leslie G Bravo .
The authorized official title is Ceo and has the following contact phone number (954) 297-9802.

The enumeration date for this NPI number is 6/22/2022 and was last updated on 6/2/2025.

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
12084P0800XPsychiatry & NeurologyPsychiatryNo
2251B00000XCase ManagementNo
3251S00000XCommunity/Behavioral HealthNo
4261QM0850XClinic/CenterAdult Mental HealthNo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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