| Beautifiul Mind Behavioral Health Services Pllc | |
|
1638 Memorial Dr Burlington NC 27215-3518 | |
| (336) 438-2525 | |
| (336) 438-2526 |
| Full Name | Beautifiul Mind Behavioral Health Services Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1638 Memorial Dr, Burlington, North Carolina |
| Authorized Official Name and Position | Spencer Simon (MD) |
| Authorized Official Contact | 3364382525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beautifiul Mind Behavioral Health Services Pllc 1638 Memorial Dr Burlington NC 27215-3518 Ph: (336) 438-2525 | Beautifiul Mind Behavioral Health Services Pllc 1638 Memorial Dr Burlington NC 27215-3518 Ph: (336) 438-2525 |
| NPI Number | 1275175911 |
|---|---|
| Provider Enumeration Date | 10/15/2019 |
| Last Update Date | 12/10/2020 |
| Certification Date | 12/10/2020 |
| Medicare PECOS PAC ID | 2365875168 |
|---|---|
| Medicare Enrollment ID | O20191210000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275175911 | NPI | - | NPPES |
| Provider Name | Mark Steven Reynolds |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023052503 PECOS PAC ID: 5698660538 Enrollment ID: I20041202001009 |
| Provider Name | Tawana Walker Barrow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134177298 PECOS PAC ID: 2365334190 Enrollment ID: I20090909000792 |
| Provider Name | Susan Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669134029 PECOS PAC ID: 7416336292 Enrollment ID: I20220624001709 |
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