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NPI Code Detail

MEDICARE: RYAN SOAVE LMHC

MEDICARE: RYAN SOAVE LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH20383FL

General Provider Information

NPI Number : 1952091332
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN SOAVE LMHC
Provider Business Mailing Address
First Line : 3333 S CONGRESS AVE STE 303
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-7346
Country : US
Telephone Number : 561-699-8677
Fax Number :
Provider Business Practice Location Address
First Line : 402 SE 6TH AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33483-5231
Country : US
Telephone Number : 877-541-6095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2023
Last Update Date : 05/10/2023

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Directions to “ RYAN SOAVE LMHC” Practice Location

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