Beasley, Amber

Beasley, Amber is an sole proprietor health care provider with primary practice located at 3686 Us Highway 331 S , Defuniak Springs FL 32435-8463. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Beasley, Amber can be contacted via phone (850) 892-8035.

Contact Information

Primary practice address
3686 Us Highway 331 S Defuniak Springs FL 32435-8463
Phone: (850) 892-8035
Fax: (850) 892-8074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH10797 Florida

Profile Details

NPI number 1467721761
LBN Legal business name Beasley, Amber
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2011
Last updated Dec 15th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467721761 NPPES
Florida Other MH10797 LICENSED MENTAL HEALTH COUNSELOR

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