| Soundmind Care | |
|
113 N San Vicente Blvd Ste 268 Beverly Hills CA 90211-2329 | |
| (747) 732-4549 | |
| (747) 237-3305 |
| Full Name | Soundmind Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 113 N San Vicente Blvd Ste 268, Beverly Hills, California |
| Authorized Official Name and Position | Elizabeth Lemfeyin Wisiy Tata-acha (NURSE PRACTITIONER) |
| Authorized Official Contact | 8189003573 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soundmind Care 16117 Columbus Ln North Hills CA 91343-2160 Ph: (818) 900-3573 | Soundmind Care 113 N San Vicente Blvd Ste 268 Beverly Hills CA 90211-2329 Ph: (747) 732-4549 |
| NPI Number | 1821879917 |
|---|---|
| Provider Enumeration Date | 10/13/2023 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Medicare PECOS PAC ID | 2062862576 |
|---|---|
| Medicare Enrollment ID | O20231226001283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821879917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Tata-acha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881318863 PECOS PAC ID: 2961852470 Enrollment ID: I20231226001342 |
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