Organization
SOUND MIND MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA JUNE TAVERAS PHMNP-BC (NURSE PRACTITIONER)
(864) 933-4097
Entity
Organization
Contact information
Practice address
204 N CEDAR ST STE 100, SUMMERVILLE, SC 29483-6453
(843) 821-2480
Mailing address
231 PAVILION ST, SUMMERVILLE, SC 29483-8411
(864) 933-4097
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/11/2024
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