Damien Beauchemin

Individual provider Active NPI Mental Health Counselor · Crescent City, CA

NPI 1104199637 · NPPES record last updated Feb 14, 2012

Key facts

NPI
1104199637
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
370 9TH St
Crescent City, CA 95531-3432
Phone
(707) 464-4349
Fax
(707) 464-4572
NPI assigned
Feb 14, 2012
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
TML Behavioral Health Group LLC Current
since Apr 21, 2024
Accepting new patients
Remi Vista, Inc. Past Accepting new patients

Locations

21125 Centre Pointe Pkwy
Santa Clarita, CA 91350
Phone (554) 353-8018

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

370 9TH St
Crescent City, CA 95531-3432

Mailing address

370 9TH St
Crescent City, CA 95531-3432
Phone (707) 464-4349

Other providers in Crescent City, CA

All providers in Crescent City, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.