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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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