Provider Demographics
NPI:1972721520
Name:SOUND MIND, L.L.C.
Entity type:Organization
Organization Name:SOUND MIND, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:ALTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:203-243-5159
Mailing Address - Street 1:1115 MAIN ST
Mailing Address - Street 2:SUITE 702
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06604-4406
Mailing Address - Country:US
Mailing Address - Phone:203-243-5159
Mailing Address - Fax:
Practice Address - Street 1:1115 MAIN ST
Practice Address - Street 2:SUITE 702
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06604-4406
Practice Address - Country:US
Practice Address - Phone:203-243-5159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0035911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1972721512OtherNPI