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Organization
SOUL ENRICHMENT MINISTRIES INC.
Active
Organization
SOUL ENRICHMENT MINISTRIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DWAYNE WILLIS SR. LMFT (PROJECT DIRECTOR)
(310) 920-2068
Entity
Organization
Contact information
Practice address
11901 AVALON BLVD, LOS ANGELES, CA 90061-2836
(323) 754-1736
Mailing address
11901 AVALON BLVD, LOS ANGELES, CA 90061-2836
(323) 754-1736
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
10/31/2025
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