Heart and Soul Acadmey LLC

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Legal business name

HEART AND SOUL ACADMEY LLC

Practice address

121 County Road 211
Shubuta, MS 39360-9482

Phone

(225) 571-8157

NPI assigned

Mar 4, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Courtney N Brunson, CEO

Title

Ceo

Phone

(225) 571-8157

Specialties & licenses 2

Addresses

Other names 1

• HEART AND SOUL ACADMEY LLC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1386401735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 COUNTY ROAD 211",
            "city": "SHUBUTA",
            "state": "MS",
            "postal_code": "393609482",
            "telephone_number": "225-571-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 COUNTY ROAD 211",
            "city": "SHUBUTA",
            "state": "MS",
            "postal_code": "393609482",
            "telephone_number": "225-571-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND SOUL ACADMEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-02",
        "status": "A",
        "authorized_official_last_name": "BRUNSON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-571-8157",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEART AND SOUL ACADMEY LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jaquina Adams
• Debra Eloise Bender
• Shanika Boyd
• Elite Transportation-Ms, LLC
• Jerrica Nicole Frazier, FNP
• Irvin Charles Jackson
• Jacquenett Jackson
• Jaquilla Q Jones, BSN RN
• Kingdom Care, LLC
• Troyneshia La'Shay Odom

• All providers in Shubuta, MS
• Student in an Organized Health Care Education/Training Program in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.