Organization
OF SOUND MIND MENTAL HEALTH COUNSELING, LIFE COACHING, AND CONSULTATIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CICELY POWELL LCSW (CEO/OWNER)
(708) 930-0640
Entity
Organization
Contact information
Practice address
18650 GOLFVIEW AVE, HOMEWOOD, IL 60430-3608
(708) 930-0640
Mailing address
18650 GOLFVIEW AVE, HOMEWOOD, IL 60430-3608
(708) 930-0640
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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