Healthcare Provider Details

I. General information

NPI: 1225994601
Provider Name (Legal Business Name): SOUL PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 MONARCH ST
FALL RIVER MA
02723-3406
US

IV. Provider business mailing address

28 BAINBRIDGE AVE
PROVIDENCE RI
02909-1802
US

V. Phone/Fax

Practice location:
  • Phone: 508-296-8281
  • Fax:
Mailing address:
  • Phone: 508-296-8281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MISS ALYCE ALMEIDA
Title or Position: OWNER
Credential: LMHC
Phone: 508-642-6767