Provider Demographics
NPI:1851057871
Name:BEAUTIFUL MINDS COUNSELING PLLC
Entity Type:Organization
Organization Name:BEAUTIFUL MINDS COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAROTTE
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:312-730-3059
Mailing Address - Street 1:1125 W LUNT AVE APT 301
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-3531
Mailing Address - Country:US
Mailing Address - Phone:312-730-3059
Mailing Address - Fax:
Practice Address - Street 1:1125 W LUNT AVE APT 301
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-3531
Practice Address - Country:US
Practice Address - Phone:312-730-3059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-14
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty