Organization · NPI-2
A Beautiful Mind, INC
Counselor, Mental Health · Chicago, IL
NPI number1841947827
StatusActive
Last updated in NPPESMar 14, 2022
Details
- NPI
- 1841947827
- Entity type
- Organization (NPI-2)
- Legal business name
- A Beautiful Mind, INC
- Organization subpart
- No
- Enumeration date
- Mar 9, 2022
- Certification date
- Mar 14, 2022
- Last updated
- Mar 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 101YP2500X | Counselor, Professional | – | – | |
| 101YS0200X | Counselor, School | – | – |
Practice location
5113 S Harper Ave Ste 2cChicago, IL 60615-4119
Phone 773-304-3699
Mailing address
5113 S Harper Ave Ste 2cChicago, IL 60615-4119
Phone 773-304-3699
Authorized official
Chiquita Lee
Ceo
7733043699
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