Organization Active NPI

Sound Mind and Wellness Solutions, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1205614070
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SOUND MIND AND WELLNESS SOLUTIONS, LLC
Practice address
1172 Pelican Bay Dr
Daytona Beach, FL 32119-1381
Phone
(386) 206-8069
Fax
(386) 206-8069
NPI assigned
Sep 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amy Donnelly
Title
Manager
Phone
(386) 957-2986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1172 Pelican Bay Dr
Daytona Beach, FL 32119-1381

Mailing address

730 Barlow Cir
Port Orange, FL 32127-5507
Phone (386) 957-2986

National Provider Directory

National Provider Directory

Locations

1172 Pelican Bay Dr
Daytona Beach, FL 32119
Phone (386) 206-8069

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1205614070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 BARLOW CIR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321275507",
            "telephone_number": "386-957-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 PELICAN BAY DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321191381",
            "telephone_number": "386-206-8069",
            "fax_number": "386-206-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND MIND AND WELLNESS SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "386-957-2986"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.