Provider Demographics
NPI:1811154701
Name:SOUND MINDS COUNSELING, PLLC
Entity type:Organization
Organization Name:SOUND MINDS COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:RUSH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:910-630-6463
Mailing Address - Street 1:3771 RAMSEY ST
Mailing Address - Street 2:SUITE 109-119
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-7675
Mailing Address - Country:US
Mailing Address - Phone:910-630-6463
Mailing Address - Fax:910-630-6461
Practice Address - Street 1:5511 RAMSEY ST
Practice Address - Street 2:SUITE 201-A
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-1497
Practice Address - Country:US
Practice Address - Phone:910-630-6463
Practice Address - Fax:910-630-6461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6495101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty