Organization Active NPI

A Sound Mind, LLC

  • Professional Counselor
  • Smyrna, GA
National Provider Identifier
1467060749
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
A SOUND MIND, LLC
Practice address
2400 Herodian Way SE Ste 220
Smyrna, GA 30080-8500
Phone
(678) 346-0808
NPI assigned
Jul 22, 2020
Last updated
Jun 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
Lynette Clark
Title
Credentialing Manager
Phone
(770) 339-7667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

2400 Herodian Way SE Ste 220
Smyrna, GA 30080-8500

Mailing address

2400 Herodian Way SE Ste 220
Smyrna, GA 30080-8500
Phone (678) 346-0808

National Provider Directory

National Provider Directory

Locations

5835 Campbellton Rd SW
Ste 303
Atlanta, GA 30331
Phone (404) 422-9992

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1467060749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HERODIAN WAY SE STE 220",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808500",
            "telephone_number": "678-346-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HERODIAN WAY SE STE 220",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808500",
            "telephone_number": "678-346-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SOUND MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "770-339-7667"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.