Healthcare Provider Details
I. General information
NPI: 1366310443
Provider Name (Legal Business Name): SOUND OF MIND PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/29/2025
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
205 N EAST AVE
JACKSON MI
49201-1753
US
IV. Provider business mailing address
2531 JACKSON AVE STE 127
ANN ARBOR MI
48103-3818
US
V. Phone/Fax
- Phone: 517-205-4730
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KRISHNA
GIRGIS
Title or Position: PRESIDENT
Credential: DO
Phone: 313-288-8057