| Sound Mind Therapeutic Center, Llc | |
|
41 Devonwood Dr Apt 101 Bridgeport WV 26330-8026 | |
| (304) 641-3891 | |
| Not Available |
| Full Name | Sound Mind Therapeutic Center, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 41 Devonwood Dr Apt 101, Bridgeport, West Virginia |
| Authorized Official Name and Position | Lisa Steffich (CEO) |
| Authorized Official Contact | 3046413891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sound Mind Therapeutic Center, Llc 41 Devonwood Dr Apt 101 Bridgeport WV 26330-8026 Ph: (304) 641-3891 | Sound Mind Therapeutic Center, Llc 41 Devonwood Dr Apt 101 Bridgeport WV 26330-8026 Ph: (304) 641-3891 |
| NPI Number | 1386415727 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386415727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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