Provider Demographics
NPI:1780441238
Name:BEAUTIFULMINDS HEALTH SERVICES LLC
Entity type:Organization
Organization Name:BEAUTIFULMINDS HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOKOTOLA
Authorized Official - Middle Name:O
Authorized Official - Last Name:AYO AJAYI
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:346-220-3534
Mailing Address - Street 1:32 SIX POINT CT
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2073
Mailing Address - Country:US
Mailing Address - Phone:443-264-1921
Mailing Address - Fax:
Practice Address - Street 1:32 SIX POINT CT
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-2073
Practice Address - Country:US
Practice Address - Phone:443-264-1921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-01
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)