| Sound Mind Psychiatric Solutions Llc | |
|
204 S Dixon St Alma GA 31510-2704 | |
| (912) 387-2165 | |
| (866) 811-4158 |
| Full Name | Sound Mind Psychiatric Solutions Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 204 S Dixon St, Alma, Georgia |
| Authorized Official Name and Position | Brittany Turner (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9122829063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sound Mind Psychiatric Solutions Llc 204 S Dixon St Alma GA 31510-2704 Ph: (912) 387-2165 | Sound Mind Psychiatric Solutions Llc 204 S Dixon St Alma GA 31510-2704 Ph: (912) 387-2165 |
| NPI Number | 1780420877 |
|---|---|
| Provider Enumeration Date | 07/08/2024 |
| Last Update Date | 11/25/2024 |
| Certification Date | 11/25/2024 |
| Medicare PECOS PAC ID | 4082150818 |
|---|---|
| Medicare Enrollment ID | O20240729001342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780420877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Mitzi Braddock Tyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396983227 PECOS PAC ID: 6800065582 Enrollment ID: I20110815000504 |
| Provider Name | Brittany Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760210819 PECOS PAC ID: 8527504356 Enrollment ID: I20240807001795 |
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