# SOUND MIND BEHAVIORAL CLINIC

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

## Provider details

- **NPI number:** 1417710377
- **Authorized official:** JEERIKA DIAZ APRN (APRN/OWNER)
- **Authorized official phone:** (407) 914-9418

## Contact information

- **Practice address:** 131 CAMPBELL AVE SW STE 512, ROANOKE, VA 24011-1244
- **Practice address phone:** (407) 914-9418
- **Mailing address:** 131 CAMPBELL AVE SW STE 512, ROANOKE, VA 24011-1244
- **Mailing address phone:** (407) 914-9418

## 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:** 02/02/2024
- **Last updated:** 02/02/2024