Provider Demographics
NPI:1285342469
Name:BEAUITFUL MIND COUNSELING CENTER, LLC
Entity type:Organization
Organization Name:BEAUITFUL MIND COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:MASTBETH
Authorized Official - Last Name:TRENTO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, NCC
Authorized Official - Phone:732-200-2891
Mailing Address - Street 1:9 PROFESSIONAL CIRCLE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722
Mailing Address - Country:US
Mailing Address - Phone:732-200-2891
Mailing Address - Fax:
Practice Address - Street 1:9 PROFESSIONAL CIRCLE
Practice Address - Street 2:SUITE 206
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722
Practice Address - Country:US
Practice Address - Phone:732-200-2891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty