Stacy Beatty LMHC LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

STACY BEATTY LMHC LLC

Practice address

18209 Sr 410 E Ste 304
Bonney Lake, WA 98391-5146

Phone

(253) 409-1919

Fax

(253) 299-8445

NPI assigned

Aug 27, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stacy L Beatty, LMHC

Title

LLC

Phone

(253) 409-1919

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1073161766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18209 SR 410 E STE 304",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983915146",
            "telephone_number": "253-409-1919",
            "fax_number": "253-299-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18209 SR 410 E STE 304",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983915146",
            "telephone_number": "253-409-1919",
            "fax_number": "253-299-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY BEATTY LMHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LLC",
        "authorized_official_telephone_number": "253-409-1919",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.