Organization
A SOUND MIND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTE CLARK (CREDENTIALING MANAGER)
(770) 339-7667
Entity
Organization
Contact information
Practice address
2400 HERODIAN WAY SE STE 220, SMYRNA, GA 30080-8500
(678) 346-0808
Mailing address
2400 HERODIAN WAY SE STE 220, SMYRNA, GA 30080-8500
(678) 346-0808
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
06/22/2022
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