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

Maxine Souvenir, LMT

Individual provider Massage Therapist · NPI 1790401966

Maxine Souvenir, LMT is a Massage Therapist in Elizabeth, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2022
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

100 Union St Apt 518
Elizabeth, NJ 07202-2171
Phone: (347) 422-4370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 18KT01438900 (NJ)

Record details

NPI number1790401966
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedOctober 18, 2022
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address100 Union St Apt 518, Elizabeth, NJ 07202-2171

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