Provider Demographics
NPI:1194617175
Name:BEAUTIFULLY B, LLC
Entity type:Organization
Organization Name:BEAUTIFULLY B, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCH NP
Authorized Official - Prefix:MS
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SYLVESTRE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:410-989-7839
Mailing Address - Street 1:2201 EASTERN BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-4296
Mailing Address - Country:US
Mailing Address - Phone:410-989-7859
Mailing Address - Fax:
Practice Address - Street 1:2201 EASTERN BLVD STE F
Practice Address - Street 2:
Practice Address - City:MIDDLE RIVER
Practice Address - State:MD
Practice Address - Zip Code:21220-4296
Practice Address - Country:US
Practice Address - Phone:410-213-5423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-16
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty