NPI 1013781509
Soul Survivors LLC
Practice location
- Address
- 109 Mount Carmel Dr, Natchez, MS 39120-2237
- Phone
- (601) 807-4715
Authorised official
- Name
- Lyvetta Renee Mickell
- Title
- Ceo/Owner
- Phone
- (601) 807-4715
Registered specialties (3)
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Mental Health Counselor
Meals Provider
Registry record
- NPI
- 1013781509
- Entity type
- Organization
- NPI issued
- 14 Nov 2023
- Record last updated
- 14 Nov 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.