Become Fabulous

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BECOME FABULOUS

Practice address

1534 Garfield St
Gary, IN 46404-2725

Phone

(219) 882-4010

Fax

(219) 882-0210

NPI assigned

Apr 30, 2013

Last updated

Apr 30, 2013By 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

Ms. Jacqueline Carol Ayers

Title

Ceo

Phone

(219) 840-8444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1407291883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 GARFIELD ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464042725",
            "telephone_number": "219-882-4010",
            "fax_number": "219-882-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 GARFIELD ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464042725",
            "telephone_number": "219-882-4010",
            "fax_number": "219-882-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECOME FABULOUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-840-8444",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessyca Mecole Batiest
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• Teofilo S Bautista, M.D., P.C.
• Lori D. Beard
• Beautiful Minds LLC
• Lierin Elizabeth Beecher, BA, CADAC II
• Ladonna Lucille Bell
• Marshall J Belmer, DDS
• Brittney Bennett, FNP-C
• Rhylee N Beshears

• Community/Behavioral Health Agency in Gary, IN
• Providers in Gary, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.