| N.e. Beautiful Mind, Llc | |
|
1050 30th St Nw # 107 Washington DC 20007-3822 | |
| (301) 640-0300 | |
| Not Available |
| Full Name | N.e. Beautiful Mind, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1050 30th St Nw # 107, Washington, District Of Columbia |
| Authorized Official Name and Position | Jernae Dickens (OWNER/CLINICAL THERAPIST) |
| Authorized Official Contact | 3016400300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N.e. Beautiful Mind, Llc 3210 Winterbourne Dr Upper Marlboro MD 20774-9084 Ph: (202) 246-8323 | N.e. Beautiful Mind, Llc 1050 30th St Nw # 107 Washington DC 20007-3822 Ph: (301) 640-0300 |
| NPI Number | 1407576853 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 11/09/2022 |
| Certification Date | 11/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407576853 | NPI | - | NPPES |
| DC2022 | Medicaid | DC | |
| BCBS2022 | Other | BLUECROSS & BLUE SHEILD | |
| UHC2022 | Other | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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