Organization
WHOLE SOUL THERAPY AND EMDR LLC
Active
Organization
WHOLE SOUL THERAPY AND EMDR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB BRYANT LCSW, MCAP (OPERATOR)
(386) 310-9662
Entity
Organization
Contact information
Practice address
1737 BISCAYNE AVE, SOUTH DAYTONA, FL 32119-2011
(386) 310-9662
Mailing address
1737 BISCAYNE AVE, SOUTH DAYTONA, FL 32119-2011
(386) 310-9662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
04/22/2026
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