Provider Demographics
NPI:1780396945
Name:BEAUTIFUL HEARTS AND MINDS HEALTH SERVICES
Entity type:Organization
Organization Name:BEAUTIFUL HEARTS AND MINDS HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAKESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-813-9961
Mailing Address - Street 1:1412 N ROLLING RD
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1103
Mailing Address - Country:US
Mailing Address - Phone:443-813-9961
Mailing Address - Fax:443-478-4716
Practice Address - Street 1:1826 WOODLAWN DR STE 3&4
Practice Address - Street 2:
Practice Address - City:WOODLAWN
Practice Address - State:MD
Practice Address - Zip Code:21207-4050
Practice Address - Country:US
Practice Address - Phone:410-800-2121
Practice Address - Fax:443-478-4716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)