# SOUND MIND MENTAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245046242
- **Authorized official:** NORMA JUNE TAVERAS PHMNP-BC (NURSE PRACTITIONER)
- **Authorized official phone:** (864) 933-4097

## Contact information

- **Practice address:** 204 N CEDAR ST STE 100, SUMMERVILLE, SC 29483-6453
- **Practice address phone:** (843) 821-2480
- **Mailing address:** 231 PAVILION ST, SUMMERVILLE, SC 29483-8411
- **Mailing address phone:** (864) 933-4097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2024
- **Last updated:** 12/11/2024