Provider Demographics
NPI:1497524102
Name:BEAUTIFUL SOULS COUNSELING
Entity Type:Organization
Organization Name:BEAUTIFUL SOULS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COBI
Authorized Official - Middle Name:
Authorized Official - Last Name:BEYDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-480-5816
Mailing Address - Street 1:14 STATION ST
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-4005
Mailing Address - Country:US
Mailing Address - Phone:848-480-5816
Mailing Address - Fax:
Practice Address - Street 1:302 HAWTHORNE AVE
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT BEACH
Practice Address - State:NJ
Practice Address - Zip Code:08742-2539
Practice Address - Country:US
Practice Address - Phone:848-480-5816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty