Healthcare Provider Details

I. General information

NPI: 1922927953
Provider Name (Legal Business Name): SOUNDMIND PSYCHIATRIC CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12645 OLIVE BLVD
CREVE COEUR MO
63141-6692
US

IV. Provider business mailing address

12645 OLIVE BLVD
CREVE COEUR MO
63141-6692
US

V. Phone/Fax

Practice location:
  • Phone: 636-385-8234
  • Fax:
Mailing address:
  • Phone: 636-385-8234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: PAUL ORJI
Title or Position: DIRECTOR
Credential: APRN, PMHNP-BC
Phone: 636-385-8234