A BEAUTIFUL MIND LLC
NPI 1760921225
Nurse Practitioner - Psychiatric/Mental Health in Jackson, MS

Q: What is A Beautiful Mind LLC's NPI number?

The NPI number for A Beautiful Mind LLC is 1760921225. It was assigned to this organization in the NPPES registry on February 16, 2017.

Q: What is A Beautiful Mind LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since February 16, 2017

1856 SMALLWOOD ST, JACKSON, MS 39212(731) 435-1545(877) 600-8393 Get Directions Write a Review

NPPES record last updated: February 16, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About A Beautiful Mind Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

A BEAUTIFUL MIND LLC (NPI 1760921225) is a healthcare organization registered as a psychiatric/mental health in Jackson, Mississippi and active in the NPI registry since February 2017. The organization lists Beverly Carson Washington, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1760921225

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameA BEAUTIFUL MIND LLC

Location Address1856 SMALLWOOD STJackson, MS 39212-2521

Mailing Address144 Old Orchard RdMadison, MS 39110-4713 · (601) 953-7780

Phone(731) 435-1545

Fax(877) 600-8393

Organization SubpartNo

Authorized OfficialBeverly Carson WashingtonOwner/ceo · (601) 953-7780

Enumeration DateFebruary 16, 2017

✔ NPI 1760921225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MS · 901777

1856 SMALLWOOD ST, Jackson, MS 39212

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is A Beautiful Mind LLC's NPI number?

The NPI number for A Beautiful Mind LLC is 1760921225. It was assigned to this organization in the NPPES registry on February 16, 2017.

Where is A Beautiful Mind LLC located?

A Beautiful Mind LLC is located at 1856 Smallwood St, Jackson, MS 39212. The listed phone number is (731) 435-1545.

What is A Beautiful Mind LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for A Beautiful Mind LLC was last updated on February 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.