A Sound Mind Mental Health Consultants, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

RN038372-AP01083 Issued in LA

Legal business name

A SOUND MIND MENTAL HEALTH CONSULTANTS, LLC

Practice address

2924 Knight St
Suite 414
Shreveport, LA 71105-2415

Phone

(318) 861-7340

Fax

(318) 861-7390

NPI assigned

Aug 3, 2015

Organization subpart

No

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

Authorized official

Name

Hazel Taylor Smith, APRN

Title

Nurse Practitioner

Phone

(318) 347-8566

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1790161685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 CALDERWOOD DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711197622",
            "telephone_number": "318-347-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 KNIGHT ST",
            "address_2": "SUITE 414",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052415",
            "telephone_number": "318-861-7340",
            "fax_number": "318-861-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SOUND MIND MENTAL HEALTH CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "318-347-8566",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "LA",
            "license": "RN038372-AP01083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Shreveport, LA
• Adult Mental Health Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.