MEDICARE: SOUNDMIND INTEGRATIVE HEALTH 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1922965599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUNDMIND INTEGRATIVE HEALTH LLC

Provider Business Mailing Address
First Line	:	9030 TRUMPS HILL RD
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-5355
Country	:	US
Telephone Number	:	301-221-8640
Fax Number	:

Provider Business Practice Location Address
First Line	:	9030 TRUMPS HILL RD
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-5355
Country	:	US
Telephone Number	:	301-221-8640
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DEANNA ROBINSON
Credential	:
Telephone Number	:	301-221-8640

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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