| Sound Mind Counseling, Pllc | |
|
200 5th St S Ste 206 Moorhead MN 56560-2768 | |
| (218) 593-1736 | |
| (218) 520-0700 |
| Full Name | Sound Mind Counseling, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 5th St S Ste 206, Moorhead, Minnesota |
| Authorized Official Name and Position | Alyssa Schultz (PRESIDENT) |
| Authorized Official Contact | 2185931736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sound Mind Counseling, Pllc 200 5th St S Ste 206 Moorhead MN 56560-2768 Ph: (218) 593-1736 | Sound Mind Counseling, Pllc 200 5th St S Ste 206 Moorhead MN 56560-2768 Ph: (218) 593-1736 |
| NPI Number | 1649093386 |
|---|---|
| Provider Enumeration Date | 11/01/2024 |
| Last Update Date | 11/01/2024 |
| Certification Date | 11/01/2024 |
| Medicare PECOS PAC ID | 4082149836 |
|---|---|
| Medicare Enrollment ID | O20241203001644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649093386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Alyssa Schultz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821602863 PECOS PAC ID: 7618402462 Enrollment ID: I20241203001850 |
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