| Emily Beasley, LMFT | |
|
67 Walnut Ave Ste 207, Clark, NJ 07066 | |
| (512) 350-4431 | |
| Not Available |
| Full Name | Emily Beasley |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 67 Walnut Ave Ste 207, Clark, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518530682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 202676 (Texas) | Secondary |
| 106H00000X | Marriage & Family Therapist | 37FI00221100 (New Jersey) | Primary |
| Entity Name | Rutgers Health Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891956298 PECOS PAC ID: 2466346770 Enrollment ID: O20040419001021 |
| Entity Name | New Jersey Behavioral Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538744297 PECOS PAC ID: 4284001025 Enrollment ID: O20221108000033 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Beasley, LMFT 67 Walnut Ave Ste 207, Clark, NJ 07066-1640 Ph: (512) 350-4431 | Emily Beasley, LMFT 67 Walnut Ave Ste 207, Clark, NJ 07066 Ph: (512) 350-4431 |
Katelyn Miranda, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 84 Hutchinson St, Clark, NJ 07066 Phone: 908-577-4576 | |
Kira Ann Buchanan, MA,LAC,NCC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 60 Walnut Ave Ste 200, Clark, NJ 07066 Phone: 732-882-1920 |