Organization
SOUL SPARK THERAPY LLC
Active
Organization
SOUL SPARK THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA RUH LMHC, NCC (LICENSED MENTAL HEALTH COUNSELOR)
(407) 588-7244
Entity
Organization
Contact information
Practice address
140 SEPP RD, DEBARY, FL 32713-3914
(407) 588-7244
Mailing address
1317 EDGEWATER DR # 1732, ORLANDO, FL 32804-6350
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669236212
NPI TYPE 1
FL
Enumeration date
07/09/2024
Last updated
07/09/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up