Beautiful Mind Behavioral Services, Corp. | |
1137 Bartow Rd Ste A Lakeland FL 33801-5828 | |
(863) 313-0049 | |
(863) 248-1970 |
Full Name | Beautiful Mind Behavioral Services, Corp. |
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Speciality | Community/behavioral Health |
Location | 1137 Bartow Rd Ste A, Lakeland, Florida |
Authorized Official Name and Position | Deysi Fernandez (OWNER) |
Authorized Official Contact | 8633130049 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Beautiful Mind Behavioral Services, Corp. 1137 Bartow Rd Ste A Lakeland FL 33801-5828 Ph: (863) 313-0049 | Beautiful Mind Behavioral Services, Corp. 1137 Bartow Rd Ste A Lakeland FL 33801-5828 Ph: (863) 313-0049 |
NPI Number | 1275013542 |
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Provider Enumeration Date | 08/16/2018 |
Last Update Date | 08/16/2018 |
Identifier | Type | State | Issuer |
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1275013542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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