| Beech Counseling Services, Llc | |
|
1849 Dean Rd Jacksonville FL 32216-4520 | |
| (904) 994-8551 | |
| Not Available |
| Full Name | Beech Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1849 Dean Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Billie Ashley Beech-mavrantzas (THERAPIST) |
| Authorized Official Contact | 9049948551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beech Counseling Services, Llc 1849 Dean Rd Jacksonville FL 32216-4520 Ph: (904) 994-8551 | Beech Counseling Services, Llc 1849 Dean Rd Jacksonville FL 32216-4520 Ph: (904) 994-8551 |
| NPI Number | 1891147120 |
|---|---|
| Provider Enumeration Date | 07/11/2016 |
| Last Update Date | 05/01/2017 |
| Medicare PECOS PAC ID | 9234416116 |
|---|---|
| Medicare Enrollment ID | O20170502000764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891147120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW13692 (Florida) | Primary |
| Provider Name | Billie A Beech Mavrantzas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982055505 PECOS PAC ID: 9032496914 Enrollment ID: I20170502000923 |
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