SOUL SURVIVORS LLC NPI 1013781509

NPI Information

  • NPI: 1013781509
  • Provider Name: SOUL SURVIVORS LLC
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 109 MOUNT CARMEL DR
    NATCHEZ, MS
    ZIP 39120
  • Phone: (601) 807-4715

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NPI Details

SOUL SURVIVORS LLC is a residential treatment facility emotionally disturbed children in Natchez, MS. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. SOUL SURVIVORS LLC NPI is 1013781509. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

109 MOUNT CARMEL DR
NATCHEZ, MS
ZIP 39120-237
Phone: (601) 807-4715

The provider's authorized official is Lyvetta Renee Mickell .
The authorized official title is Ceo/owner and has the following contact phone number (601) 807-4715.

The enumeration date for this NPI number is 11/14/2023 and was last updated on 11/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2174200000XMealsNo
3322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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