| Beauty In Mind Therapy | |
|
1974 Crosswaters Dr Dacula GA 30019-1711 | |
| (404) 247-3751 | |
| Not Available |
| Full Name | Beauty In Mind Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 1974 Crosswaters Dr, Dacula, Georgia |
| Authorized Official Name and Position | Bianca Lana Hallmon (THERAPIST) |
| Authorized Official Contact | 4708651066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beauty In Mind Therapy Po Box 1431 Dacula GA 30019-0025 Ph: (404) 566-6800 | Beauty In Mind Therapy 1974 Crosswaters Dr Dacula GA 30019-1711 Ph: (404) 247-3751 |
| NPI Number | 1902668627 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Medicare PECOS PAC ID | 5991145864 |
|---|---|
| Medicare Enrollment ID | O20240426000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902668627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Bianca Lana Hallmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265907448 PECOS PAC ID: 6800236779 Enrollment ID: I20240426000254 |
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