Organization
SOUL ABA LLC
Active
Other names
SOUL ABA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW ALEXANDER HOOD (MEMBER/ MANAGER OF SOUL ABA LLC)
(870) 520-8680
Entity
Organization
Contact information
Practice address
2356 HYACINTH LN, HERNANDO, MS 38632-1094
(870) 520-8680
(870) 520-8680
Mailing address
2356 HYACINTH LN, HERNANDO, MS 38632-1094
(870) 520-8680
(870) 520-8680
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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