Isabella C Beeson, LPC
Individual provider Active NPI Professional Counselor · Republic, MO
NPI 1649558339 · NPPES record last updated Jul 28, 2011
Key facts
- NPI
- 1649558339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2007035311 (MO)
- Practice address
- 550 Mayberry
Republic, MO 65738-2206 - Phone
- (417) 619-3934
- NPI assigned
- Jul 28, 2011
- Sex
- Female
- 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 |
|---|---|---|---|
| 2007035311 | MO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2007035311 | MO | Yes |
Addresses
Primary practice location
550 Mayberry
Republic, MO 65738-2206
Mailing address
550 Mayberry
Republic, MO 65738-2206
Phone (417) 619-3934
Other providers in Republic, MO
- Back in Balance
- Shauna Renae Badami
- Emily Bahadoorsingh
- Bahman Tehrani DDS LLC
- Bahman Tehrani Enterprises Inc
- Jennifer L Berryessa
- Richard C Bosworth I
- Brainwings, LLC
- Dave Bremer
- Bristol Care, Inc.
All providers in Republic, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2011. 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.