Organization · Type 2 NPI

Soul Aba LLC

Adolescent and Children Mental Health Clinic/Center · Hernando, MS

NPI number 1487539540 Active

Practice location

2356 Hyacinth Ln
Hernando, MS 38632-1094

Fax (870) 520-8680

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center 261QD1600XNone listed
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1487539540

Soul Aba LLC's National Provider Identifier is 1487539540, issued on Aug 7, 2025. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Hernando, MS. The record was last updated on Aug 7, 2025.