Provider Demographics
NPI:1679398671
Name:SOUND MIND WHOLE HEART THERAPY LLC
Entity type:Organization
Organization Name:SOUND MIND WHOLE HEART THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:RICHTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:501-310-4233
Mailing Address - Street 1:2112 W HUNTSVILLE AVE STE B
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-2600
Mailing Address - Country:US
Mailing Address - Phone:501-310-4233
Mailing Address - Fax:501-492-6439
Practice Address - Street 1:2112 W HUNTSVILLE AVE STE B
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-2600
Practice Address - Country:US
Practice Address - Phone:501-310-4233
Practice Address - Fax:501-492-6439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-15
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty