Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Community/Behavioral Health |
251S00000X | |||
Professional |
101YP2500X |
| NPI # | 1124723580 |
| LBN Legal business name | SOUND MINDS COUNSELING AND WELLNESS CENTER, LLC |
| Authorized official | SHANTRICE HURST - (ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/04/2023 |
| Last updated | 05/23/2024 - About 2 years ago |
| Identifiers | n/a |
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