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Organization
SOUND MIND HOLISTIC SERVICES LLC
Active
Organization
SOUND MIND HOLISTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NZIMA JOSEPHINE ETTA (CEO)
(817) 874-0159
Entity
Organization
Contact information
Practice address
4500 MERCANTILE PLAZA DR STE 300, FORT WORTH, TX 76137-4206
(817) 874-0159
Mailing address
4500 MERCANTILE PLAZA DR STE 300, FORT WORTH, TX 76137-4206
(817) 874-0159
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
05/12/2022
Last updated
05/24/2022
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