| A Beautiful Mind Corporation | |
|
2410 Grape Rd Ste 1 Mishawaka IN 46545-3015 | |
| (574) 243-9370 | |
| (574) 243-9375 |
| Full Name | A Beautiful Mind Corporation |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2410 Grape Rd Ste 1, Mishawaka, Indiana |
| Authorized Official Name and Position | Linda Monroe (PRESIDENT) |
| Authorized Official Contact | 5742439370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Beautiful Mind Corporation 2410 Grape Rd Ste 1 Mishawaka IN 46545-3015 Ph: (574) 243-9370 | A Beautiful Mind Corporation 2410 Grape Rd Ste 1 Mishawaka IN 46545-3015 Ph: (574) 243-9370 |
| NPI Number | 1184495368 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 01/16/2024 |
| Certification Date | 01/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184495368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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