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1073458451 NPI number — A BEAUTIFUL MIND BEHAVIORAL HEALTH, PLLC

NPI Number: 1073458451
Health Care Provider/Practitioner: A BEAUTIFUL MIND BEHAVIORAL HEALTH, PLLC

Information about “1073458451” NPI (A BEAUTIFUL MIND BEHAVIORAL HEALTH, PLLC) exists in 1073458451 in HTML format HTML  |  1073458451 in plain Text format TXT  |  1073458451 in PDF (Portable Document Format) PDF  |  1073458451 in an XML format XML  formats.

NPI Number : 1073458451 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073458451",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "A BEAUTIFUL MIND BEHAVIORAL HEALTH, PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 140265",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75214-0265",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-404-6233",
    "MailingAddressFaxNumber": "972-404-6233",
    "FirstLinePracticeLocationAddress": "901 WATSON WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CROWLEY",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76036-3754",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-404-6233",
    "PracticeLocationAddressFaxNumber": "972-404-6233",
    "EnumerationDate": "04/21/2026",
    "LastUpdateDate": "04/21/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HAYNES",
    "AuthorizedOfficialFirstName": "MICHAELA",
    "AuthorizedOfficialMiddleName": "FIRST",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPC",
    "AuthorizedOfficialTelephoneNumber": "972-404-6233",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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