Restoration Essence of a Lady Shelter, LLC

Organization Active NPI Community/Behavioral Health Agency · Belzoni, MS

NPI 1073248795 · NPPES record last updated Jul 18, 2022

Key facts

NPI
1073248795
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
RESTORATION ESSENCE OF A LADY SHELTER, LLC
Practice address
994 Bankhead Dr
Belzoni, MS 39038
Phone
(662) 318-5018
NPI assigned
Jul 18, 2022
Organization subpart
Yes
Parent organization (as reported)
RESTORATION CHILDREN FACILITIES INC

Authorized official

Name
Lakendra Ayana Wilson
Title
Director
Phone
(662) 303-1800

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

National Provider Directory

Part of
Restoration Children Facilities Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

994 Bankhead Dr
Belzoni, MS 39038

Mailing address

308 Camellia LN
Indianola, MS 38751-2604
Phone (662) 303-1800

Other names

  • Restoration Children Facilities INC Doing business as

Other providers in Belzoni, MS

All providers in Belzoni, MS · Community/Behavioral Health Agency in Mississippi

Sources for this page

Verify at the official NPI Registry.