Mark Alan Beach, LPC
Individual provider Active NPI Professional Counselor · Clarkesville, GA
NPI 1295334209 · NPPES record last updated Oct 21, 2020
Key facts
- NPI
- 1295334209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC011813 (GA)
- Practice address
- 320 Victory Home LN
Clarkesville, GA 30523 - Phone
- (706) 754-6030
- NPI assigned
- Oct 21, 2020
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC011813 | GA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC011813 | GA | Yes |
Addresses
Primary practice location
320 Victory Home LN
Clarkesville, GA 30523
Mailing address
226 Peachtree St
Colbert, GA 30628-2831
Phone (706) 202-9185
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC011813 | Other | GA | COMPOSITE BOARD OF PROFESSIONAL COUNSELORS |
Other providers in Clarkesville, GA
- Gina Marie Adams
- Amy Lynne Allgary
- Appalachian Psychological and Behavioral Services LLC
- Stuart Alva Babcock
- Caroline Baggott
- Christy Lee Bivins
- Blue Ridge Health LLC
- Regina Ann Boling
- O Anita Brackett
- Steve Butler
All providers in Clarkesville, GA · Professional Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.