Provider Demographics
NPI:1578244620
Name:SOUNDMIND THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:SOUNDMIND THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:AJUOGA
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP
Authorized Official - Phone:402-957-0938
Mailing Address - Street 1:6411 S 145TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-3904
Mailing Address - Country:US
Mailing Address - Phone:402-957-0938
Mailing Address - Fax:
Practice Address - Street 1:13750 MILLARD AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-2712
Practice Address - Country:US
Practice Address - Phone:402-998-5619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty