| A Beautiful Mind Therapy Services Pllc | |
|
91 N Saginaw St Ste G-101 Pontiac MI 48342-2165 | |
| (586) 646-8259 | |
| (586) 685-2475 |
| Full Name | A Beautiful Mind Therapy Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 91 N Saginaw St Ste G-101, Pontiac, Michigan |
| Authorized Official Name and Position | Sherita Inez Brownlee (CEO) |
| Authorized Official Contact | 2489775272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Beautiful Mind Therapy Services Pllc 91 N Saginaw St Ste G-101 Pontiac MI 48342-2165 Ph: (248) 977-5272 | A Beautiful Mind Therapy Services Pllc 91 N Saginaw St Ste G-101 Pontiac MI 48342-2165 Ph: (586) 646-8259 |
| NPI Number | 1912525213 |
|---|---|
| Provider Enumeration Date | 07/13/2020 |
| Last Update Date | 03/17/2023 |
| Certification Date | 03/17/2023 |
| Medicare PECOS PAC ID | 2567865116 |
|---|---|
| Medicare Enrollment ID | O20210720003941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912525213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sherita Inez Brownlee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023440708 PECOS PAC ID: 3375955529 Enrollment ID: I20201214000889 |
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