Beatrice Askew

Individual provider Active NPI Professional Counselor · La Fayette, GA

NPI 1053890657 · NPPES record last updated Aug 14, 2018

Key facts

NPI
1053890657
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
APC006525 (GA)
Practice address
501 Mize St
La Fayette, GA 30728-3346
Phone
(706) 628-5580
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
APC006525GAMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X APC006525 GA Yes

Addresses

Primary practice location

501 Mize St
La Fayette, GA 30728-3346

Mailing address

1 Sylvan St NW
Rome, GA 30165-2208
Phone (229) 630-8194

Other providers in La Fayette, GA

All providers in La Fayette, GA · Professional Counselor in Georgia

Sources for this page

Verify at the official NPI Registry.