| Sound Mind Therapy, Llc | |
|
2167 Commons Pkwy Okemos MI 48864-3987 | |
| (517) 281-0394 | |
| Not Available |
| Full Name | Sound Mind Therapy, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2167 Commons Pkwy, Okemos, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sound Mind Therapy, Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Sound Mind Therapy, Llc 2167 Commons Pkwy Okemos MI 48864-3987 Ph: (517) 281-0394 |
| NPI Number | 1831741867 |
|---|---|
| Provider Enumeration Date | 07/10/2019 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Medicare PECOS PAC ID | 1951749191 |
|---|---|
| Medicare Enrollment ID | O20240405002827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831741867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Erin Gajda |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609244979 PECOS PAC ID: 2860830007 Enrollment ID: I20240405002929 |
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