Organization
BEAUTIFIUL MIND BEHAVIORAL HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER SIMON (MD)
(336) 438-2525
Entity
Organization
Contact information
Practice address
1638 MEMORIAL DR, BURLINGTON, NC 27215-3518
(336) 438-2525
(336) 438-2526
Mailing address
1638 MEMORIAL DR, BURLINGTON, NC 27215-3518
(336) 438-2525
(336) 438-2526
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/15/2019
Last updated
12/10/2020
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