# BEAUTIFUL MINDS COUNSELING CENTER

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

## Provider details

- **NPI number:** 1427511278
- **Authorized official:** MRS. MISTY AMBER CADLE M.ED., LPC, NCC, MAC (CLINICAL DIRECTOR)
- **Authorized official phone:** (276) 202-8814

## Contact information

- **Practice address:** 108 MORRISON DR, PRINCETON, WV 24740-2322
- **Practice address phone:** (276) 202-8814
- **Mailing address:** 108 MORRISON DR, PRINCETON, WV 24740-2322
- **Mailing address phone:** (276) 202-8814
- **Mailing address fax:** (304) 362-8244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/09/2019
- **Last updated:** 08/07/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1427511278 | — | WV |