Doctor Name: | MRS. SARABETH RUTH SOUBLIERE |
NPI Number: | 1164778486 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS.ED, ITDS |
License Number: | |
Business Practice Address: | 1644 Ocean Shore Blvd Apt D Ormond Beach, FL - 321763203 |
Business Phone Number: | 3862435788 |
Business Fax Number: | |
Mailing Address: | 1644 Ocean Shore Blvd, Apt D ORMOND BEACH |
State: | FL |
Postal Code: | 321763203 |
Phone Number: | 3862435788 |
Fax Number: | |
NPI Enumeration Date: | 07/24/2012 |
NPI Last Update Date: | 07/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |