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General NPI Number Information
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NPI Number | 1457287492
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Entity Type | Organization
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Legal Business Name | SOUL SOLUTIONS PSYCHIATRIC & COUNSELING SERVICES, PA
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 301 3RD ST NW STE 208
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City | WINTER HAVEN
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State | FL
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Zip | 33881-4094
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Country | US
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Telephone | 863-364-4711
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Fax | 863-875-2001
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Provider Business Mailing Address
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Address Line | 7623 STATE ROAD 653
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City | WINTER HAVEN
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State | FL
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Zip | 33884-3472
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Country | US
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Telephone | 863-364-4711
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Fax | 863-875-2001
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Authorized Official
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Title or Position | OWNER-CMO
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Name | MIRTHA ALVAREZ ACEVEDO
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Credential | AGPCNP-BC, PMHNP-BC
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Telephone | 863-364-4711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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