| Beautiful Minds Targeted Case Management | |
|
2860 Saint Augustine Dr Orlando FL 32825-7140 | |
| (407) 470-3630 | |
| (407) 270-5935 |
| Full Name | Beautiful Minds Targeted Case Management |
|---|---|
| Speciality | Social Worker |
| Location | 2860 Saint Augustine Dr, Orlando, Florida |
| Authorized Official Name and Position | Davena Shabazz (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4074703630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beautiful Minds Targeted Case Management 2860 Saint Augustine Dr Orlando FL 32825-7140 Ph: (407) 470-3630 | Beautiful Minds Targeted Case Management 2860 Saint Augustine Dr Orlando FL 32825-7140 Ph: (407) 470-3630 |
| NPI Number | 1588381396 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 10/21/2022 |
| Certification Date | 10/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588381396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
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