MEDICARE: SOUND MIND COUNSELING CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1780275297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUND MIND COUNSELING CENTER, LLC

Provider Business Mailing Address
First Line	:	5580 W FLAMINGO RD STE 107
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-0165
Country	:	US
Telephone Number	:	702-724-3438
Fax Number	:	702-924-0628

Provider Business Practice Location Address
First Line	:	5580 W FLAMINGO RD STE 107
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-0165
Country	:	US
Telephone Number	:	702-724-3438
Fax Number	:	702-924-0628

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	VERONICA PEREZ-KAHL
Credential	:	LCSW
Telephone Number	:	702-724-3438

Provider Enumeration Date	:	01/27/2021
Last Update Date	:	06/28/2024

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