# A SOUND MIND COUNSELING SERVICE

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

## Provider details

- **NPI number:** 1770754624
- **Authorized official:** DR. SHANTEL THOMAS PH.D. (CEO)
- **Authorized official phone:** (513) 948-0023

## Contact information

- **Practice address:** 203 E GALBRAITH RD, CINCINNATI, OH 45216-1353
- **Practice address phone:** (513) 948-0023
- **Practice address fax:** (513) 948-0023
- **Mailing address:** 203 E GALBRAITH RD, CINCINNATI, OH 45216-1353
- **Mailing address phone:** (513) 948-0023
- **Mailing address fax:** (513) 948-0087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | E0002888 | OH | Yes |
| 1041C0700X | Clinical Social Worker | 0020737 | OH | — |
| 1041C0700X | Clinical Social Worker | I0028602 | OH | — |

## Other

- **Enumeration date:** 03/19/2008
- **Last updated:** 09/03/2021
