Organization
SOUND MINDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA LONG PMHNP-BC (OWNER)
(903) 721-3910
Entity
Organization
Contact information
Practice address
111 MEADOWLARK LN, RUSK, TX 75785-3693
(903) 721-3910
Mailing address
PO BOX 121, RUSK, TX 75785-0121
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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