Provider Demographics
NPI:1205010923
Name:BEGINNERS MIND, INC
Entity Type:Organization
Organization Name:BEGINNERS MIND, INC
Other - Org Name:COMMUNITY RESOURCE COORDINATORS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-935-0099
Mailing Address - Street 1:7732 GOODWOOD BLVD
Mailing Address - Street 2:SUITE N
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-7626
Mailing Address - Country:US
Mailing Address - Phone:225-935-0099
Mailing Address - Fax:225-935-0098
Practice Address - Street 1:7732 GOODWOOD BLVD
Practice Address - Street 2:SUITE N
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-7626
Practice Address - Country:US
Practice Address - Phone:225-935-0099
Practice Address - Fax:225-935-0098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14018251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1546895Medicaid