Provider Demographics
NPI:1053958686
Name:BEAUTIFUL MINDS COUNSELING
Entity type:Organization
Organization Name:BEAUTIFUL MINDS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:469-844-1216
Mailing Address - Street 1:PO BOX 140982
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75014-0982
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2311 MUSTANG DR STE 300
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-1010
Practice Address - Country:US
Practice Address - Phone:469-844-1216
Practice Address - Fax:219-736-3896
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CADENCE CONSULTING PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-02
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty