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SOUL SPACE THERAPY, LLC
NPI 1700354339
Social Worker - Clinical in Punta Gorda, FL

Active since November 13, 2018
25078 PURPLE EMPEROR WAY, PUNTA GORDA, FL 33955(810) 845-6090(941) 467-1723 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Soul Space Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUL SPACE THERAPY, LLC (NPI 1700354339) is a healthcare organization registered as a clinical in Punta Gorda, Florida and active in the NPI registry since November 2018. The organization maintains a secondary practice location in Flint and lists Janie Janine Brynolf, Owner/clinical Therapist, as its authorized official.

NPPES Registry Identity

NPI1700354339
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSOUL SPACE THERAPY, LLC
Location Address25078 PURPLE EMPEROR WAYPunta Gorda, FL 33955-6220
Mailing Address25078 Purple Emperor WayPunta Gorda, FL 33955-6220 · (810) 845-6090
Phone(810) 845-6090
Fax(941) 467-1723
Organization SubpartNo
Authorized OfficialJanie Janine BrynolfOwner/clinical Therapist · (810) 845-6090
Enumeration DateNovember 13, 2018
Last NPPES UpdateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
✔ NPI 1700354339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
25078 PURPLE EMPEROR WAY, Punta Gorda, FL 33955
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Secondary Practice Location 1

Location 11110 Eldon Baker DrFlint, MI 48507-1923 · Phone (810) 625-4955

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JANIE BRYNOLF LCSW, CAC
Social Worker (Clinical)
25078 PURPLE EMPEROR WAY
PUNTA GORDA, FL 33955
Charlotte County (810) 845-6090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soul Space Therapy, LLC's NPI number?

The NPI number for Soul Space Therapy, LLC is 1700354339. It was assigned to this organization in the NPPES registry on November 13, 2018.

Where is Soul Space Therapy, LLC located?

Soul Space Therapy, LLC is located at 25078 Purple Emperor Way, Punta Gorda, FL 33955. The listed phone number is (810) 845-6090.

What is Soul Space Therapy, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Soul Space Therapy, LLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Soul Space Therapy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Soul Space Therapy, LLC was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.