Beaty, John Wesley
Beaty, John Wesley is an sole proprietor health care provider with primary practice located at 1701 N Collins Blvd Suite 230, Richardson TX 75080-3553. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Beaty, John Wesley can be contacted via phone (972) 596-6351.Contact Information
Primary practice address
1701 N Collins Blvd Suite 230
Richardson TX 75080-3553
Phone: (972) 596-6351
Fax: (972) 231-4886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 22958 | Texas |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 22958 | Texas |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 22958 | Texas |
| Behavioral Health & Social Service Providers / School | 103TS0200X | 30315 | Texas |
Profile Details
| NPI number | 1457408841 |
|---|---|
| LBN Legal business name | Beaty, John Wesley |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Nov 10th, 2010 - about 14 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 | 1457408841 | NPPES |
| Texas | Other | 140051 | VALUE OPTIONS |
| Texas | Other | 082142000 | VALUE OPTIONS |
| Texas | Other | 0004225322 | VALUE OPTIONS |
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