Provider Demographics
NPI:1356151013
Name:SOUNDMIND HOLISTIC PSYCHIATRY
Entity type:Organization
Organization Name:SOUNDMIND HOLISTIC PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ASONGANYI
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:940-337-9460
Mailing Address - Street 1:3413 FLETCHER RD
Mailing Address - Street 2:
Mailing Address - City:HEARTLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75126-1720
Mailing Address - Country:US
Mailing Address - Phone:940-337-9460
Mailing Address - Fax:
Practice Address - Street 1:3413 FLETCHER RD
Practice Address - Street 2:
Practice Address - City:HEARTLAND
Practice Address - State:TX
Practice Address - Zip Code:75126-1720
Practice Address - Country:US
Practice Address - Phone:940-337-9460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty