Organization
SOUND MIND AND WELLNESS SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DONNELLY (MANAGER)
(386) 957-2986
Entity
Organization
Contact information
Practice address
1172 PELICAN BAY DR, DAYTONA BEACH, FL 32119-1381
(386) 206-8069
(386) 206-8069
Mailing address
730 BARLOW CIR, PORT ORANGE, FL 32127-5507
(386) 957-2986
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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