Provider Demographics
NPI:1902668627
Name:BEAUTY IN MIND THERAPY
Entity Type:Organization
Organization Name:BEAUTY IN MIND THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BIANCA
Authorized Official - Middle Name:LANA
Authorized Official - Last Name:HALLMON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:470-865-1066
Mailing Address - Street 1:PO BOX 1431
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-0025
Mailing Address - Country:US
Mailing Address - Phone:404-566-6800
Mailing Address - Fax:
Practice Address - Street 1:1974 CROSSWATERS DR
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-1711
Practice Address - Country:US
Practice Address - Phone:404-247-3751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty