Provider Demographics
NPI:1679305650
Name:SOWING SEEDS, LLC
Entity type:Organization
Organization Name:SOWING SEEDS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LURETHA
Authorized Official - Middle Name:ROENEKA
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:601-572-4268
Mailing Address - Street 1:114 STONE COVE
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MS
Mailing Address - Zip Code:39056-5020
Mailing Address - Country:US
Mailing Address - Phone:601-572-4268
Mailing Address - Fax:
Practice Address - Street 1:114 STONE COVE
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MS
Practice Address - Zip Code:39056-5020
Practice Address - Country:US
Practice Address - Phone:601-572-4268
Practice Address - Fax:601-488-5003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-17
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty