Provider Demographics
NPI:1629784335
Name:DISCOVERING BEAUTIFUL MINDS, LLC
Entity Type:Organization
Organization Name:DISCOVERING BEAUTIFUL MINDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:MUNGERA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASH
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LPES
Authorized Official - Phone:803-392-3543
Mailing Address - Street 1:215 E BAY ST STE 201K
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29401-2635
Mailing Address - Country:US
Mailing Address - Phone:803-392-3543
Mailing Address - Fax:
Practice Address - Street 1:303 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:GRANITEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29829-4025
Practice Address - Country:US
Practice Address - Phone:803-392-3543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health