Donna B Beasley, LPC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Andalusia, AL

NPI 1457577819 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1457577819
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
1683 (AL)
Practice address
19815 Bay Branch Rd
Andalusia, AL 36420-9234
Phone
(334) 222-2525
Fax
(334) 222-4660
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1683 AL Yes

Addresses

Primary practice location

19815 Bay Branch Rd
Andalusia, AL 36420-9234

Mailing address

284 Country LN
Luverne, AL 36049-7201
Phone (334) 335-3805

Other identifiers

IdentifierTypeStateIssuer
62-14728OtherALUBH PLUS
62-31728OtherALUBH BASIC

Other providers in Andalusia, AL

All providers in Andalusia, AL · Addiction (Substance Use Disorder) Counselor in Alabama

Sources for this page

Verify at the official NPI Registry.