Provider Demographics
NPI:1285370866
Name:SOUND BET
Entity type:Organization
Organization Name:SOUND BET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TURKESSA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:609-453-4290
Mailing Address - Street 1:311 S NEW YORK RD STE 31
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-6025
Mailing Address - Country:US
Mailing Address - Phone:609-453-4290
Mailing Address - Fax:
Practice Address - Street 1:311 S NEW YORK RD STE 31
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-6025
Practice Address - Country:US
Practice Address - Phone:609-453-4290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-07
Last Update Date:2022-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)