Provider Demographics
NPI:1881425494
Name:SOUND MIND P&W, PLLC
Entity type:Organization
Organization Name:SOUND MIND P&W, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHANDRA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:SIKES
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APRN, PMHNP-BC
Authorized Official - Phone:325-400-0180
Mailing Address - Street 1:114 CENTER AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-3172
Mailing Address - Country:US
Mailing Address - Phone:325-400-0180
Mailing Address - Fax:
Practice Address - Street 1:114 CENTER AVE STE 203
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-3172
Practice Address - Country:US
Practice Address - Phone:325-400-0180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty