Sondermind Provider Network LLC
Sondermind Provider Network LLC is a Professional Counselor in Boston, Massachusetts. Registered with an NPI since 2026.
- In the registry since
- 2026
- Specialties on file
- 6
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
90 Canal St Ste 4Boston, MA 02114-2022
Phone: (844) 843-7279
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X |
| Psychologist | Taxonomy 103T00000X |
| Marriage & Family Therapist | Taxonomy 106H00000X |
| Psychiatry Physician | Taxonomy 2084P0800X |
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X |
Record details
| NPI number | 1417800293 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tanya Roach — Credentialing Manager · (970) 329-7161 |
| NPI enumerated | February 19, 2026 |
| Last updated in NPPES | February 19, 2026 |
| Certification date | February 19, 2026 |
| Mailing address | Po Box 738012, Dallas, TX 75373-8012 |
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