Whalio Doctors

NPI 1013781509

Soul Survivors LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Natchez, MS

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
Residential Treatment Facilities Taxonomy 322D00000X
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X
Meals Provider
Other Service Providers Taxonomy 174200000X

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.