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Organization
ULTIMATE SOUL PSYCH INC
Active
Organization
ULTIMATE SOUL PSYCH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. GABRIELA ALESSANDRA SEGNINI LMHC (PRESIDENT)
(954) 624-6929
Entity
Organization
Contact information
Practice address
2598 E SUNRISE BLVD STE 2104, FORT LAUDERDALE, FL 33304-3230
(754) 300-7001
Mailing address
2598 E SUNRISE BLVD STE 2104, FORT LAUDERDALE, FL 33304-3230
(754) 300-7001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMHC18408
FLORIDA LICENSE
FL
Enumeration date
09/29/2020
Last updated
05/25/2021
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