Active NPI
Beasley Family Therapy Services, LLC
- Clinical Social Worker
- Ypsilanti, MI
National Provider Identifier
1326524208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BEASLEY FAMILY THERAPY SERVICES, LLC
- Practice address
- 124 Pearl St Ste 304
Ypsilanti, MI 48197-2663 - Phone
- (734) 719-0448
- NPI assigned
- Jul 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Anthany J Beasley, LMSW
- Title
- Owner
- Phone
- (734) 719-0448
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
124 Pearl St Ste 304
Ypsilanti, MI 48197-2663
Mailing address
1175 Jay Ave
Ypsilanti, MI 48198-6462
Phone (734) 719-0448
National Provider Directory
National Provider DirectoryLocations
124 Pearl St
Ste 306
Ypsilanti, MI 48197
Phone (734) 219-9361
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Lawrence, KS
- NPI 1962968875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531440000000",
"number": "1326524208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 JAY AVE",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481986462",
"telephone_number": "734-719-0448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 PEARL ST STE 304",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481972663",
"telephone_number": "734-719-0448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEASLEY FAMILY THERAPY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-13",
"last_updated": "2018-07-13",
"status": "A",
"authorized_official_last_name": "BEASLEY",
"authorized_official_first_name": "ANTHANY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "734-719-0448",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.