Beauty in Mind Therapy
Organization Active NPI Clinical Social Worker · Dacula, GA
NPI 1902668627 · NPPES record last updated Apr 24, 2024
Key facts
- NPI
- 1902668627
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- BEAUTY IN MIND THERAPY
- Practice address
- 1974 Crosswaters Dr
Dacula, GA 30019-1711 - Phone
- (404) 247-3751
- NPI assigned
- Jan 29, 2024
- Organization subpart
- No
Authorized official
- Name
- Bianca Lana Hallmon, LCSW
- Title
- Therapist
- Phone
- (470) 865-1066
Corporate family (same tax ID) 1
Practitioners 1
-
Bianca Lana Hallmon, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240426000228 | GA | Part B Supplier - Clinic/Group Practice | 5991145864 |
Receives reassigned benefits from 1 practitioner Practice locations: Dacula, GA |
National Provider Directory
- Tax ID family
- Beauty in Mind Therapy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
1974 Crosswaters Dr
Dacula, GA 30019-1711
Mailing address
PO Box 1431
Dacula, GA 30019-0025
Phone (404) 566-6800
Other providers in Dacula, GA
- Olivia Barroso
- Dayton Claire Barth
- Megan Bartlett
- Kate Anderson Bass
- Hillery Bavani
- Beauty in Mind Therapy LLC
- Chatarra Bell
- Letoria Bell
- Josephine Fatmata Belmoh
- Amy Elizabeth Bennett
All providers in Dacula, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.