# HEAVENLY SOUL'S CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689248064
- **Authorized official:** ROSIE MICHEL PMHNP-BC (MANAGER)
- **Authorized official phone:** (786) 999-9909

## Contact information

- **Practice address:** 13000 NE 12TH AVE, NORTH MIAMI, FL 33161-4305
- **Practice address phone:** (786) 999-9909
- **Mailing address:** 16756 NE 4TH CT, NORTH MIAMI BEACH, FL 33162-3975
- **Mailing address phone:** (786) 999-9909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2021
- **Last updated:** 08/06/2021