# A SOUND MIND

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

## Provider details

- **NPI number:** 1689812216
- **Authorized official:** MR. THOMAS JOSEPH PORTNEY LISW-CP (THERAPIST)
- **Authorized official phone:** (803) 442-9410

## Contact information

- **Practice address:** 1315 W MARTINTOWN RD, NORTH AUGUSTA, SC 29860-7631
- **Practice address phone:** (803) 442-9410
- **Practice address fax:** (803) 426-1574
- **Mailing address:** 1315 W MARTINTOWN RD, NORTH AUGUSTA, SC 29860-7631
- **Mailing address phone:** (803) 442-9410
- **Mailing address fax:** (803) 426-1574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 2590 | SC | — |
| 1041C0700X | Clinical Social Worker | 4379 | SC | Yes |

## Other

- **Enumeration date:** 02/04/2009
- **Last updated:** 02/04/2009