Soul Survivors LLC
NPI #1013781509 in Natchez, Mississippi
Provider Information
- NPI Number
- 1013781509
- Entity Type
- Organization
- Organization Name
- Soul Survivors LLC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Nov 14, 2023
- Last Updated
- Nov 14, 2023
Practice Location
- Address
- 109 MOUNT CARMEL DR
- City
- Natchez
- State
- Mississippi
- ZIP Code
- 39120-2237
- Phone
- (601) 807-4715
Authorized Official
- Name
- LYVETTA RENEE MICKELL
- Title
- CEO/OWNER
- Phone
- (601) 807-4715
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Meals |
| Residential Treatment Facility, Emotionally Disturbed Children |
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