Provider Demographics
NPI:1801691407
Name:A SOUND MIND INC.
Entity type:Organization
Organization Name:A SOUND MIND INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LANIER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:707-290-9887
Mailing Address - Street 1:1545 WEBSTER ST STE A
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-4917
Mailing Address - Country:US
Mailing Address - Phone:707-290-9887
Mailing Address - Fax:
Practice Address - Street 1:1545 WEBSTER ST STE A
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-4917
Practice Address - Country:US
Practice Address - Phone:707-290-9887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty