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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