Provider Demographics
NPI:1669355491
Name:SOMA AND SAGE MENTAL HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:SOMA AND SAGE MENTAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:ROBYN
Authorized Official - Last Name:PRAUGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-571-2694
Mailing Address - Street 1:528 BAHIA TRACK TRL
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-2621
Mailing Address - Country:US
Mailing Address - Phone:615-571-2694
Mailing Address - Fax:
Practice Address - Street 1:528 BAHIA TRACK TRL
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472-2621
Practice Address - Country:US
Practice Address - Phone:615-571-2694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-29
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty