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General NPI Number Information
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NPI Number | 1174288864
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Entity Type | Organization
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Legal Business Name | IT'S A BEAUTIFUL MIND CONSULTANTS LLC
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Dates
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Enumeration Date | 11/08/2021
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 2924 KNIGHT ST STE 412
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City | SHREVEPORT
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State | LA
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Zip | 71105-2413
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Country | US
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Telephone | 318-218-5763
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Fax | 318-374-2506
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Provider Business Mailing Address
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Address Line | PO BOX 4132
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City | SHREVEPORT
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State | LA
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Zip | 71134-0132
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Country | US
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Telephone | 318-243-2411
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Fax | 318-374-2506
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Authorized Official
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Title or Position | CEO
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Name | MRS. JASCHANDRIA BELL
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Credential | FNP, PMHNP
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Telephone | 318-243-2411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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