MEDICARE: BEAUTIFUL SOULS COUNSELING

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1497524102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEAUTIFUL SOULS COUNSELING

Provider Business Mailing Address
First Line	:	14 STATION ST
Second Line	:
City	:	MANALAPAN
State	:	NJ
Zip	:	07726-4005
Country	:	US
Telephone Number	:	848-480-5816
Fax Number	:

Provider Business Practice Location Address
First Line	:	302 HAWTHORNE AVE
Second Line	:
City	:	POINT PLEASANT BEACH
State	:	NJ
Zip	:	08742-2539
Country	:	US
Telephone Number	:	848-480-5816
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	COBI BEYDA
Credential	:
Telephone Number	:	848-480-5816

Provider Enumeration Date	:	12/21/2023
Last Update Date	:	12/21/2023

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