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Organization
SOUND MIND BEHAVIORAL CLINIC
Active
Organization
SOUND MIND BEHAVIORAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEERIKA DIAZ APRN (APRN/OWNER)
(407) 914-9418
Entity
Organization
Contact information
Practice address
131 CAMPBELL AVE SW STE 512, ROANOKE, VA 24011-1244
(407) 914-9418
Mailing address
131 CAMPBELL AVE SW STE 512, ROANOKE, VA 24011-1244
(407) 914-9418
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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