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
(773) 304-3699
Mailing address
5113 S HARPER AVE STE 2C, CHICAGO, IL 60615-4119
(773) 304-3699
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
Other
Enumeration date
03/09/2022
Last updated
03/14/2022
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