Provider Demographics
NPI:1053838680
Name:SIMPLY SOUND MIND, LLC
Entity Type:Organization
Organization Name:SIMPLY SOUND MIND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LOURDES
Authorized Official - Middle Name:PINEDA
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:318-651-8337
Mailing Address - Street 1:300 WASHINGTON ST STE 208
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-6762
Mailing Address - Country:US
Mailing Address - Phone:318-651-8337
Mailing Address - Fax:
Practice Address - Street 1:300 WASHINGTON ST STE 208
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-6762
Practice Address - Country:US
Practice Address - Phone:318-651-8337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07290363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty