MEDICARE: BEAUTIFUL MIND COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1780525238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEAUTIFUL MIND COUNSELING LLC

Provider Business Mailing Address
First Line	:	1755 LAKE TERRACE DR
Second Line	:
City	:	EUSTIS
State	:	FL
Zip	:	32726-5739
Country	:	US
Telephone Number	:	325-638-3515
Fax Number	:

Provider Business Practice Location Address
First Line	:	1755 LAKE TERRACE DR
Second Line	:
City	:	EUSTIS
State	:	FL
Zip	:	32726-5739
Country	:	US
Telephone Number	:	352-638-3515
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FLOR FARINAS
Credential	:	LMHC
Telephone Number	:	352-638-3515

Provider Enumeration Date	:	04/01/2026
Last Update Date	:	05/27/2026

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