A Sound Mind | |
1315 W Martintown Rd North Augusta SC 29860-7631 | |
(803) 442-9410 | |
(803) 426-1574 |
Full Name | A Sound Mind |
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Speciality | Social Worker - Clinical |
Location | 1315 W Martintown Rd, North Augusta, South Carolina |
Authorized Official Name and Position | Thomas Joseph Portney (THERAPIST) |
Authorized Official Contact | 8034429410 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
A Sound Mind 1315 W Martintown Rd North Augusta SC 29860-7631 Ph: (803) 442-9410 | A Sound Mind 1315 W Martintown Rd North Augusta SC 29860-7631 Ph: (803) 442-9410 |
NPI Number | 1689812216 |
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Provider Enumeration Date | 02/04/2009 |
Last Update Date | 02/04/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689812216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2590 (South Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | 4379 (South Carolina) | Primary |
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