| A Beautiful Mind 126 Llc | |
|
215 N Trimble Rd Mansfield OH 44906-2630 | |
| (419) 272-8488 | |
| Not Available |
| Full Name | A Beautiful Mind 126 Llc |
|---|---|
| Speciality | Social Worker |
| Location | 215 N Trimble Rd, Mansfield, Ohio |
| Authorized Official Name and Position | Sylvia Caprice Jordan (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Contact | 4199618502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Beautiful Mind 126 Llc 129 Elderberry Dr Mansfield OH 44907-2882 Ph: (419) 961-8502 | A Beautiful Mind 126 Llc 215 N Trimble Rd Mansfield OH 44906-2630 Ph: (419) 272-8488 |
| NPI Number | 1477318269 |
|---|---|
| Provider Enumeration Date | 02/20/2024 |
| Last Update Date | 02/20/2024 |
| Certification Date | 02/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477318269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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