NPI 1073248795

Restoration Essence of a Lady Shelter, LLC

Organisation Community/Behavioral Health Agency Belzoni, MS

Practice location

Address: 994 Bankhead Dr, Belzoni, MS 39038
Phone: (662) 318-5018
Mailing address: 308 Camellia Ln, Indianola, MS 38751-2604

Authorised official

Name: Lakendra Ayana Wilson
Title: Director
Phone: (662) 303-1800

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Mississippi →

Registry record

NPI: 1073248795
Entity type: Organization
NPI issued: 18 Jul 2022
Record last updated: 18 Jul 2022

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.