Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Soulful Shore Therapy

Organization Clinical Social Worker · NPI 1407760069

Soulful Shore Therapy provides Clinical Social Worker services in Pensacola, Florida. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

4300 Bayou Blvd Ste 33
Pensacola, FL 32503-2671
Phone: (850) 912-9118
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1407760069
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jade Halfacre — Owner/Therapist · (850) 396-3182
NPI enumeratedSeptember 30, 2026
Last updated in NPPESSeptember 30, 2026
Certification dateSeptember 30, 2026
Mailing address4300 Bayou Blvd Ste 33, Suite 33, Pensacola, FL 32503-2671

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