Beth Liljestrand

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

7203 Issued in FL

Legal business name

BETH LILJESTRAND

Practice address

3201 Shamrock St S Ste 103
Tallahassee, FL 32309-3349

Phone

(850) 661-5466

Fax

(850) 894-0062

NPI assigned

Apr 19, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Beth Ann Liljestrand, LMHC

Title

Therapist/Private Practitioner

Phone

(850) 661-5466

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beth Liljestrand Doing business as

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1306333935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 SHAMROCK ST S STE 103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093349",
            "telephone_number": "850-661-5466",
            "fax_number": "850-894-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 SHAMROCK ST S STE 103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093349",
            "telephone_number": "850-661-5466",
            "fax_number": "850-894-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH LILJESTRAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "LILJESTRAND",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "THERAPIST/PRIVATE PRACTITIONER",
        "authorized_official_telephone_number": "850-661-5466",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "7203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1318096",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beth Liljestrand",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beth Liljestrand",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keith L. Berry, PA
• Brittany Berta, ARNP
• Abby Lauren Bertagnolli Dunn, M. ED., BCBA, LBA
• John Bertram Jr.
• Antonio Miguel Betancourt, M.D.
• Beth Liljestrand
• Beth North, LCSW, LLC
• Bethany Life LLC
• Bethel Family Life Center, Inc
• Thalisa Bethel

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.