Beautiful Mind Clinic, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

BEAUTIFUL MIND CLINIC, LLC

Practice address

7208 W Sand Lake Rd Ste 305
Orlando, FL 32819-5279

Phone

(407) 799-8808

Fax

(407) 440-4307

NPI assigned

Oct 22, 2018

Last updated

Dec 23, 2020By 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

Mr. Damon Lai

Title

Healthcare Administrator

Phone

(407) 799-8808

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1184190753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7208 W SAND LAKE RD STE 305",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195279",
            "telephone_number": "407-799-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 W SAND LAKE RD STE 305",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195279",
            "telephone_number": "407-799-8808",
            "fax_number": "407-440-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL MIND CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "HEALTHCARE ADMINISTRATOR",
        "authorized_official_telephone_number": "407-799-8808",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME114891",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carley Katlyn Beauge, MD
• Sascha Beaumont, ARNP
• Savannah Beaumont
• Kenysha Beauplan, RN
• Beautiful Birthings
• Beautiful Minds Targeted Case Management
• Beauty Hidden Gems, LLC
• Bregard Anderson Beauvais
• Ashley Lynn Beaver, LCSW, MSW
• Carla Beavers, CRNA

• Neurology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.