Provider Demographics
NPI:1124350921
Name:SOUND MIND COUNSELING MINISTRY
Entity type:Organization
Organization Name:SOUND MIND COUNSELING MINISTRY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHRISTIAN COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:BURRESS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:276-494-4036
Mailing Address - Street 1:1100 CEDAR VALLEY DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CEDAR BLUFF
Mailing Address - State:VA
Mailing Address - Zip Code:24609
Mailing Address - Country:US
Mailing Address - Phone:276-698-0073
Mailing Address - Fax:276-964-0052
Practice Address - Street 1:1100 CEDAR VALLEY DRIVE
Practice Address - Street 2:SUITE 4
Practice Address - City:CEDAR BLUFF
Practice Address - State:VA
Practice Address - Zip Code:24609
Practice Address - Country:US
Practice Address - Phone:276-698-0073
Practice Address - Fax:276-964-0052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
170300000X
VA101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No170300000XOther Service ProvidersGenetic Counselor, MSGroup - Multi-Specialty