Provider Demographics
NPI:1518691476
Name:BEAUTIFUL MINDS COUNSELING CENTER
Entity Type:Organization
Organization Name:BEAUTIFUL MINDS COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:AMBER
Authorized Official - Last Name:CADLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:681-282-5678
Mailing Address - Street 1:108 MORRISON DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740-2322
Mailing Address - Country:US
Mailing Address - Phone:681-282-5678
Mailing Address - Fax:304-362-8244
Practice Address - Street 1:108 MORRISON DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-2322
Practice Address - Country:US
Practice Address - Phone:681-282-5678
Practice Address - Fax:304-362-8244
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEAUTIFUL MINDS COUNSELING CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-07-14
Last Update Date:2022-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health