Organization
OF A SOUND MIND COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACIE GORDEN LPC (OWNER/THERAPIST)
(314) 276-6196
Entity
Organization
Contact information
Practice address
3751 PENNRIDGE DR STE 119, BRIDGETON, MO 63044-1244
(314) 744-9276
(314) 269-0348
Mailing address
5522 MCLARAN AVE, SAINT LOUIS, MO 63136-1247
(314) 276-6196
(314) 269-0348
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
02/14/2024
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