# BEAMING MIND PSYCHOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285406066
- **Authorized official:** DR. VERONICA PATRICIA MEDINA PSYD (OWNER)
- **Authorized official phone:** (484) 408-4646

## Contact information

- **Practice address:** 1101 TAMIAMI TRL S STE 215A-1, VENICE, FL 34285-4133
- **Practice address phone:** (941) 842-3837
- **Mailing address:** 14370 59TH CIR E, BRADENTON, FL 34211-0740
- **Mailing address phone:** (941) 842-3837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/25/2023
- **Last updated:** 01/02/2024