Beautiful Minds Social Center, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

BEAUTIFUL MINDS SOCIAL CENTER, LLC

Practice address

1037 S Florida Ave Ste 130
Lakeland, FL 33803-1175

Phone

(863) 450-9308

NPI assigned

Jan 16, 2024

Last updated

Jan 16, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erica Rae Davis

Title

Founder/Executive Director

Phone

(863) 450-9308

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1073374195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 S FLORIDA AVE STE 130",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031175",
            "telephone_number": "863-450-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 S FLORIDA AVE STE 130",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031175",
            "telephone_number": "863-450-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL MINDS SOCIAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "FOUNDER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "863-450-9308"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Beasley, PT
• Tiffany Elizabeth Beasley, RBT
• William K Beatty, ARNP
• Keiamber Beaubriant
• Beautiful Mind Behavioral Services, Corp.
• Anny Noley Becerra Duque
• Christina Elise Beck
• Marian Becker, DPT
• Alyssia Beckner, LMHC
• Susan Beckner

• Adult Day Care Clinic/Center in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.