| Beautiful Minds | |
|
305 Independence Blvd Sicklerville NJ 08081-1093 | |
| (609) 350-5007 | |
| (609) 904-2265 |
| Full Name | Beautiful Minds |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 305 Independence Blvd, Sicklerville, New Jersey |
| Authorized Official Name and Position | Jeffrey Wayne Cox (CEO/DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Contact | 6093650712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beautiful Minds 305 Independence Blvd Sicklerville NJ 08081-1093 Ph: (609) 350-5007 | Beautiful Minds 305 Independence Blvd Sicklerville NJ 08081-1093 Ph: (609) 350-5007 |
| NPI Number | 1255839528 |
|---|---|
| Provider Enumeration Date | 01/31/2018 |
| Last Update Date | 08/11/2021 |
| Certification Date | 08/11/2021 |
| Medicare PECOS PAC ID | 5890039168 |
|---|---|
| Medicare Enrollment ID | O20181128001403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255839528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Cheryl J Mercer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003208885 PECOS PAC ID: 3173867454 Enrollment ID: I20181128001764 |
| Provider Name | Jessica Pescatore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760146203 PECOS PAC ID: 1052751120 Enrollment ID: I20240507000275 |
| Provider Name | Jenny Beasley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932553922 PECOS PAC ID: 6002257193 Enrollment ID: I20240507001951 |
| Provider Name | Jeffrey W Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154707073 PECOS PAC ID: 1759625031 Enrollment ID: I20240509000701 |
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