| NPI | 1386497162 |
|---|---|
| Former Legal Business Name | A BEAUTIFUL MIND COUNSELING SERVICES |
| Entity Type | Organization |
| Authorized Contact | JOYCELYN LASHAE GREEN License Clinical Social Worker 601-831-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-06-24 |