Beasley, Ilise
Beasley, Ilise is an sole proprietor health care provider with primary practice located at 14000 S Military Trl Ste 204A , Delray Beach FL 33484-2654. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Beasley, Ilise can be contacted via phone (561) 501-5260.Contact Information
Primary practice address
14000 S Military Trl Ste 204A
Delray Beach FL 33484-2654
Phone: (561) 501-5260
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | IMT2372 | Florida |
Profile Details
| NPI number | 1700250149 |
|---|---|
| LBN Legal business name | Beasley, Ilise |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 23rd, 2015 |
| Last updated | Jun 11th, 2019 - about 6 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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