Organization
A SOUND MIND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS JOSEPH PORTNEY LISW-CP (THERAPIST)
(803) 442-9410
Entity
Organization
Contact information
Practice address
1315 W MARTINTOWN RD, NORTH AUGUSTA, SC 29860-7631
(803) 442-9410
(803) 426-1574
Mailing address
1315 W MARTINTOWN RD, NORTH AUGUSTA, SC 29860-7631
(803) 442-9410
(803) 426-1574
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2590
SC
1041C0700X
Clinical Social Worker
Primary
4379
SC
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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