# SOUND MIND HOLISTIC SERVICES LLC

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

## Provider details

- **NPI number:** 1700523693
- **Authorized official:** NZIMA JOSEPHINE ETTA (CEO)
- **Authorized official phone:** (817) 874-0159

## Contact information

- **Practice address:** 4500 MERCANTILE PLAZA DR STE 300, FORT WORTH, TX 76137-4206
- **Practice address phone:** (817) 874-0159
- **Mailing address:** 4500 MERCANTILE PLAZA DR STE 300, FORT WORTH, TX 76137-4206
- **Mailing address phone:** (817) 874-0159

## 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:** 05/12/2022
- **Last updated:** 05/24/2022