Provider Demographics
NPI:1174345870
Name:THERAPY FOR THE SOUL INCORPORATED
Entity type:Organization
Organization Name:THERAPY FOR THE SOUL INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:JUNE
Authorized Official - Last Name:CASLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:965-464-1997
Mailing Address - Street 1:1006 NEWLAKE DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-5508
Mailing Address - Country:US
Mailing Address - Phone:954-464-1997
Mailing Address - Fax:
Practice Address - Street 1:1006 NEWLAKE DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-5508
Practice Address - Country:US
Practice Address - Phone:954-464-1997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-25
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health