Organization
A BEAUTIFUL MIND, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIQUITA LEE (CEO)
(773) 304-3699
Entity
Organization
Contact information
Practice address
5113 S HARPER AVE STE 2C, CHICAGO, IL 60615-4119
(312) 340-8826
(773) 304-4555
Mailing address
5113 S HARPER AVE STE 2C, CHICAGO, IL 60615-4119
(312) 340-8826
(773) 304-4555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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