Soul Space Therapy, LLC
NPI 1700354339 · Clinical Social Worker · Punta Gorda, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Soul Space Therapy, LLC is a Clinical Social Worker organization in Punta Gorda, FL (NPI 1700354339).
Provider details
- NPI number
- 1700354339
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Janie Brynolf, Owner/Clinical Therapist(810) 845-6090
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1110 Eldon Baker DrFlint, MI 48507-1923Phone: (810) 625-4955
Registry dates
- Enumerated
- 2018-11-13
- Last updated
- 2021-10-27
- Certified
- 2021-10-27
Frequently asked questions
- What is Soul Space Therapy, LLC's NPI number?
- Soul Space Therapy, LLC's National Provider Identifier (NPI) is 1700354339, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Soul Space Therapy, LLC?
- Soul Space Therapy, LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Soul Space Therapy, LLC located?
- Soul Space Therapy, LLC's practice location on file with NPPES is 25078 Purple Emperor Way, Punta Gorda, FL 33955-6220.
- What is Soul Space Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Soul Space Therapy, LLC is (810) 845-6090.
- Does Soul Space Therapy, LLC accept Medicare?
- Soul Space Therapy, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Soul Space Therapy, LLC?
- The authorized official listed on Soul Space Therapy, LLC's NPPES record is Janie Brynolf, Owner/Clinical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Soul Space Therapy, LLC's NPI active?
- Yes — Soul Space Therapy, LLC's NPI (1700354339) is active in the NPPES registry as of the last update on 2021-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.