Beasley, Sandra Lynn

Beasley, Sandra Lynn is an individual health care provider with primary practice located at 1815 Pleasant Grove Road , Jonesboro AR 72401-7870. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Beasley, Sandra Lynn can be contacted via phone (870) 933-6886.

Contact Information

Primary practice address
1815 Pleasant Grove Road Jonesboro AR 72401-7870
Phone: (870) 933-6886
Fax: (870) 933-9395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 1715-M Arkansas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2550-C Arkansas

Profile Details

NPI number 1356517981
LBN Legal business name Beasley, Sandra Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2008
Last updated Feb 3rd, 2016 - about 9 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 1356517981 NPPES
Arkansas Other 5TT98 BCBS
Arkansas MEDICAID 170153795 BCBS

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