Ultimate Soul Psych Inc - Medicare Mental Health Clinic in Fort Lauderdale, FL

Ultimate Soul Psych Inc is a medicare enrolled mental health clinic (Counselor - Mental Health) in Fort Lauderdale, Florida. The current practice location for Ultimate Soul Psych Inc is 2598 E Sunrise Blvd Ste 2104, Fort Lauderdale, Florida. For appointments, you can reach them via phone at (754) 300-7001. The mailing address for Ultimate Soul Psych Inc is 2598 E Sunrise Blvd Ste 2104, Fort Lauderdale, Florida and phone number is (754) 300-7001.

Ultimate Soul Psych Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124635669. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (754) 300-7001.

Contact Information

Ultimate Soul Psych Inc
2598 E Sunrise Blvd Ste 2104
Fort Lauderdale
FL 33304-3230
(754) 300-7001
Not Available

Mental Health Clinic Profile

Full NameUltimate Soul Psych Inc
SpecialityCounselor
Location2598 E Sunrise Blvd Ste 2104, Fort Lauderdale, Florida
Authorized Official Name and PositionGabriela Alessandra Segnini (PRESIDENT)
Authorized Official Contact9546246929
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ultimate Soul Psych Inc
2598 E Sunrise Blvd Ste 2104
Fort Lauderdale
FL 33304-3230

Ph: (754) 300-7001
Ultimate Soul Psych Inc
2598 E Sunrise Blvd Ste 2104
Fort Lauderdale
FL 33304-3230

Ph: (754) 300-7001

NPI Details:

NPI Number1124635669
Provider Enumeration Date09/29/2020
Last Update Date05/25/2021
Certification Date05/25/2021

Medicare PECOS Information:

Medicare PECOS PAC ID4385093632
Medicare Enrollment IDO20231212001192

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Medical Identifiers

Medical identifiers for Ultimate Soul Psych Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124635669NPI-NPPES
LMHC18408OtherFLFLORIDA LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ultimate Soul Psych Inc acts as a billing entity for following providers:
Provider NameGabriela Alessandra Segnini
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1043718844
PECOS PAC ID: 5294184545
Enrollment ID: I20231222000637

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Counselor in Fort Lauderdale, FL

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