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General NPI Number Information
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NPI Number | 1245187202
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Entity Type | Organization
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Legal Business Name | SOUL CARE EMPOWERMENT INSTITUTE, INC.
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 7 PROFESSIONAL PKWY STE 101
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City | HATTIESBURG
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State | MS
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Zip | 39402-2648
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Country | US
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Telephone | 601-781-1661
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Fax | 800-489-0211
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Provider Business Mailing Address
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Address Line | 7 PROFESSIONAL PKWY STE 101
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City | HATTIESBURG
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State | MS
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Zip | 39402-2648
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Country | US
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Telephone | 601-781-1661
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Fax | 800-489-0211
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Authorized Official
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Title or Position | CEO/EXECUTIVE DIRECTOR
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Name | DR. ELIZABETH CONERLY SMITH
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Credential | PHD, LPC. BCTMH
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Telephone | 601-402-4139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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