| Colorful Minds, Llc | |
|
102 Kelley Cv Pass Christian MS 39571-2226 | |
| (504) 444-2092 | |
| Not Available |
| Full Name | Colorful Minds, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 102 Kelley Cv, Pass Christian, Mississippi |
| Authorized Official Name and Position | Randi M Mura (OWNER) |
| Authorized Official Contact | 5044442092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorful Minds, Llc Po Box 237 Pass Christian MS 39571-0237 Ph: (504) 444-2092 | Colorful Minds, Llc 102 Kelley Cv Pass Christian MS 39571-2226 Ph: (504) 444-2092 |
| NPI Number | 1407308638 |
|---|---|
| Provider Enumeration Date | 11/04/2016 |
| Last Update Date | 11/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407308638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 160026 (Mississippi) | Primary |
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