| Beautiful Minds Behavioral Solutions Llc | |
|
385 Nail Rd Apt I100 Southaven MS 38671-7264 | |
| (662) 739-2485 | |
| Not Available |
| Full Name | Beautiful Minds Behavioral Solutions Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 385 Nail Rd Apt I100, Southaven, Mississippi |
| Authorized Official Name and Position | Deidra Baskin (CEO) |
| Authorized Official Contact | 6627392485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beautiful Minds Behavioral Solutions Llc 385 Nail Rd Apt I100 Southaven MS 38671-7264 Ph: (662) 739-2485 | Beautiful Minds Behavioral Solutions Llc 385 Nail Rd Apt I100 Southaven MS 38671-7264 Ph: (662) 739-2485 |
| NPI Number | 1932933389 |
|---|---|
| Provider Enumeration Date | 08/28/2024 |
| Last Update Date | 08/28/2024 |
| Certification Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932933389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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