Soubliere, Sarabeth Ruth

Soubliere, Sarabeth Ruth is an sole proprietor health care provider with primary practice located at 236 Georgetowne Blvd N/A, Daytona Beach FL 32119. She recently has 3 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Soubliere, Sarabeth Ruth can be contacted via phone (386) 631-3067.

Contact Information

Primary practice address
236 Georgetowne Blvd N/A Daytona Beach FL 32119
Phone: (386) 631-3067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Florida

Profile Details

NPI number 1164778486
LBN Legal business name Soubliere, Sarabeth Ruth
Credentials MS.ED, ITDS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2012
Last updated Jan 13th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164778486 NPPES
Florida MEDICAID 015103300

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