Beasley, Eric J

Beasley, Eric J is an sole proprietor health care provider with primary practice located at 2330 Scenic Hwy S Ste 111 , Snellville GA 30078-3115. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Beasley, Eric J can be contacted via phone (404) 895-3199.

Contact Information

Primary practice address
2330 Scenic Hwy S Ste 111 Snellville GA 30078-3115
Phone: (404) 895-3199
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1766 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1801153929
LBN Legal business name Beasley, Eric J
Credentials CAADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2012
Last updated Jul 21st, 2022 - about 3 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 1801153929 NPPES
Georgia Other 1766 DEPARTMENT HUMAN RESOURCES

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