MEDICARE: SOUND MINDS MENTAL HEALTH SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1861287963
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUND MINDS MENTAL HEALTH SERVICES

Provider Business Mailing Address
First Line	:	11751 SW 3RD ST
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33325-2911
Country	:	US
Telephone Number	:	786-487-4333
Fax Number	:

Provider Business Practice Location Address
First Line	:	11751 SW 3RD ST
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33325-2911
Country	:	US
Telephone Number	:	786-487-4333
Fax Number	:

Authorized Official
Title or Position	:	MGR
Name	:	PATRICIA S BATCHELDER
Credential	:	M.ED
Telephone Number	:	786-487-0433

Provider Enumeration Date	:	04/10/2025
Last Update Date	:	04/10/2025

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