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:
Health care specialties
Specialty | Code | License # | 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 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356517981 | NPPES |
Arkansas | Other | 5TT98 | BCBS |
Arkansas | MEDICAID | 170153795 | BCBS |
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