Provider Demographics
NPI:1548096159
Name:SOUND FAMILY PRACTICE LLC
Entity type:Organization
Organization Name:SOUND FAMILY PRACTICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BOATENG
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:380-444-6256
Mailing Address - Street 1:7139 E. MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-2013
Mailing Address - Country:US
Mailing Address - Phone:380-444-6256
Mailing Address - Fax:380-444-6256
Practice Address - Street 1:7139 E. MAIN STREET
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-2013
Practice Address - Country:US
Practice Address - Phone:380-444-6256
Practice Address - Fax:380-444-6256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty