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General NPI Number Information
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NPI Number | 1558405480
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Entity Type | Organization
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Legal Business Name | BEGINNERS MIND, INC
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 4354 S. SHERWOOD FOREST BLVD. - STE 240
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City | BATON ROUGE
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State | LA
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Zip | 70816
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Country | US
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Telephone | 225-935-0099
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Fax | 225-935-0098
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Provider Business Mailing Address
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Address Line | 4354 S. SHERWOOD FOREST BLVD. - STE 240
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City | BATON ROUGE
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State | LA
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Zip | 70816
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Country | US
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Telephone | 225-935-0099
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Fax | 225-935-0098
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TRACY MATHERNE
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Credential |
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Telephone | 225-935-0099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 14018
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License Number State | LA
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