Organization Active NPI

Soul ABA LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Hernando, MS
National Provider Identifier
1487539540
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
SOUL ABA LLC
Doing business as
Soul ABA LLC
Practice address
2356 Hyacinth LN
Hernando, MS 38632-1094
Phone
(870) 520-8680
Fax
(870) 520-8680
NPI assigned
Aug 7, 2025
Last updated
Aug 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Matthew Alexander Hood
Title
Member/ Manager of Soul ABA LLC
Phone
(870) 520-8680

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

2356 Hyacinth LN
Hernando, MS 38632-1094

Mailing address

2356 Hyacinth LN
Hernando, MS 38632-1094
Phone (870) 520-8680

Other names 1

  • SOUL ABA LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1487539540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 HYACINTH LN",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386321094",
            "telephone_number": "870-520-8680",
            "fax_number": "870-520-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 HYACINTH LN",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386321094",
            "telephone_number": "870-520-8680",
            "fax_number": "870-520-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "HOOD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "MEMBER/ MANAGER OF SOUL ABA LLC",
        "authorized_official_telephone_number": "870-520-8680"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUL ABA LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hernando, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.