Organization
SOUND MIND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAEVE NICOLL (LICENSED CLINICAL SOCIAL WORKER)
(847) 770-3752
Entity
Organization
Contact information
Practice address
2800 E ENTERPRISE AVE STE 333, APPLETON, WI 54913-7889
(847) 770-3752
Mailing address
2800 E ENTERPRISE AVE STE 333, APPLETON, WI 54913-7889
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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