Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Soul Space Therapy, LLC

Organization Clinical Social Worker · NPI 1700354339

Soul Space Therapy, LLC is a Clinical Social Worker in Punta Gorda, Florida. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25078 Purple Emperor Way
Punta Gorda, FL 33955-6220
Phone: (810) 845-6090
Fax: (941) 467-1723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1110 Eldon Baker Dr, Flint, MI 48507-1923 — (810) 625-4955

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1700354339
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janie Brynolf — Owner/Clinical Therapist · (810) 845-6090
NPI enumeratedNovember 13, 2018
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021
Mailing address25078 Purple Emperor Way, Punta Gorda, FL 33955-6220

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