Organization
FEED YOUR SOUL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI SCHOTT (LCSW/OWNER)
(731) 400-8022
Entity
Organization
Contact information
Practice address
2917 N HIGHLAND AVE, JACKSON, TN 38305-3407
(731) 300-1010
(731) 214-1816
Mailing address
PO BOX 10233, JACKSON, TN 38308-0103
(731) 400-8022
(731) 214-1816
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
11/17/2024
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