# HEART AND SOUL ACADMEY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HEART AND SOUL ACADMEY LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386401735
- **Authorized official:** MRS. COURTNEY N BRUNSON CEO (CEO)
- **Authorized official phone:** (225) 571-8157

## Contact information

- **Practice address:** 121 COUNTY ROAD 211, SHUBUTA, MS 39360-9482
- **Practice address phone:** (225) 571-8157
- **Mailing address:** 121 COUNTY ROAD 211, SHUBUTA, MS 39360-9482
- **Mailing address phone:** (225) 571-8157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 376K00000X | Nurse's Aide | — | NULL | — |
| 376K00000X | Nurse's Aide | — | — | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2024
- **Last updated:** 03/04/2024