Healthcare Provider Details

I. General information

NPI: 1194646760
Provider Name (Legal Business Name): REMEDY SOUL CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 MONTEITH AVE
HERNANDO MS
38632-7665
US

IV. Provider business mailing address

1048 RANCH RD
HERNANDO MS
38632-2466
US

V. Phone/Fax

Practice location:
  • Phone: 901-488-1107
  • Fax: 855-395-0944
Mailing address:
  • Phone: 901-488-1107
  • Fax: 855-395-0944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KAM DUNCAN
Title or Position: OWNER/LPC
Credential: LPC
Phone: 901-488-1107