Provider Demographics
NPI:1871321000
Name:SOUND MINDS PSYCHIATRY AND WELLNESS PLLC
Entity type:Organization
Organization Name:SOUND MINDS PSYCHIATRY AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF ENTITY
Authorized Official - Prefix:
Authorized Official - First Name:ANSELM
Authorized Official - Middle Name:NNADOZIE
Authorized Official - Last Name:ONYENEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-891-5557
Mailing Address - Street 1:2909 E ARKANSAS LN STE C
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-6930
Mailing Address - Country:US
Mailing Address - Phone:817-891-5557
Mailing Address - Fax:
Practice Address - Street 1:2909 E ARKANSAS LN STE C
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-6930
Practice Address - Country:US
Practice Address - Phone:817-891-5557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty