| Soul Survivors Llc | |
|
109 Mount Carmel Dr Natchez MS 39120-2237 | |
| (601) 807-4715 | |
| Not Available |
| Full Name | Soul Survivors Llc |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 109 Mount Carmel Dr, Natchez, Mississippi |
| Authorized Official Name and Position | Lyvetta Renee Mickell (CEO/OWNER) |
| Authorized Official Contact | 6018074715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Survivors Llc 109 Mount Carmel Dr Natchez MS 39120-2237 Ph: (601) 807-4715 | Soul Survivors Llc 109 Mount Carmel Dr Natchez MS 39120-2237 Ph: (601) 807-4715 |
| NPI Number | 1013781509 |
|---|---|
| Provider Enumeration Date | 11/14/2023 |
| Last Update Date | 11/14/2023 |
| Certification Date | 11/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013781509 | NPI | - | NPPES |
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