A Beautiful Mind Corporation | |
2410 Grape Rd Ste 1 Mishawaka IN 46545-3015 | |
(574) 243-9370 | |
(574) 243-9375 |
Full Name | A Beautiful Mind Corporation |
---|---|
Speciality | Psychologist - Clinical |
Location | 2410 Grape Rd Ste 1, Mishawaka, Indiana |
Authorized Official Name and Position | Linda Monroe (PRESIDENT) |
Authorized Official Contact | 5742439370 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
A Beautiful Mind Corporation 2410 Grape Rd Ste 1 Mishawaka IN 46545-3015 Ph: (574) 243-9370 | A Beautiful Mind Corporation 2410 Grape Rd Ste 1 Mishawaka IN 46545-3015 Ph: (574) 243-9370 |
NPI Number | 1184495368 |
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Provider Enumeration Date | 01/16/2024 |
Last Update Date | 01/16/2024 |
Certification Date | 01/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184495368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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