Provider Demographics
NPI:1588109391
Name:ECHOES OF THE SOUL COUNSELING
Entity type:Organization
Organization Name:ECHOES OF THE SOUL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:SALLY-ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:NOEL
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:954-803-6563
Mailing Address - Street 1:8400 N UNIVERSITY DR
Mailing Address - Street 2:SUITE # 315
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-1752
Mailing Address - Country:US
Mailing Address - Phone:954-803-6563
Mailing Address - Fax:
Practice Address - Street 1:8400 N UNIVERSITY DR
Practice Address - Street 2:SUITE # 315
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-1752
Practice Address - Country:US
Practice Address - Phone:954-803-6563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-03
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW81031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty