| A Beautiful Mind Counseling Services | |
|
1100 Clay St Vicksburg MS 39183-2912 | |
| (601) 831-7325 | |
| Not Available |
| Full Name | A Beautiful Mind Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 1100 Clay St, Vicksburg, Mississippi |
| Authorized Official Name and Position | Joycelyn Lashae Green (LICENSE CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6018317325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Beautiful Mind Counseling Services 115 North Dr Vicksburg MS 39180-9304 Ph: (601) 831-7325 | A Beautiful Mind Counseling Services 1100 Clay St Vicksburg MS 39183-2912 Ph: (601) 831-7325 |
| NPI Number | 1386497162 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 06/24/2024 |
| Certification Date | 06/24/2024 |
| Medicare PECOS PAC ID | 5698211167 |
|---|---|
| Medicare Enrollment ID | O20240719002414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386497162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Joycelyn L Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649879461 PECOS PAC ID: 7517355530 Enrollment ID: I20211025002250 |
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