Larry E. Beauchamp, Jr.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LARRY E. BEAUCHAMP, JR.

Practice address

1450 Ross Clark Cir Ste 3
Dothan, AL 36301-4736

Phone

(334) 794-2113

Fax

(334) 702-1220

NPI assigned

Mar 26, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Heather McClenny, OFFICE MANAGER

Title

Office Manager

Phone

(334) 794-2113

Specialties & licenses 1

Addresses

Other names 1

• Larry E. Beauchamp Jr. Marriage and Family Therapist, LLC Doing business as

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1568923217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ROSS CLARK CIR STE 3",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363014736",
            "telephone_number": "334-794-2113",
            "fax_number": "334-702-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ROSS CLARK CIR STE 3",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363014736",
            "telephone_number": "334-794-2113",
            "fax_number": "334-702-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY E. BEAUCHAMP, JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "MCCLENNY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-794-2113",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larry E. Beauchamp Jr. Marriage and Family Therapist, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Dothan, AL
• Providers in Dothan, AL by specialty
• Community/Behavioral Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.