Doctor Name: | LEAH BECK |
NPI Number: | 1003270190 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH12933 |
Business Practice Address: | 8188 S Jog Rd Suite 201 Boynton Beach, FL - 334722952 |
Business Phone Number: | 5617529490 |
Business Fax Number: | 5617529491 |
Mailing Address: | 1065 Ne 125th St, Suite 409 NORTH MIAMI |
State: | FL |
Postal Code: | 331615821 |
Phone Number: | 8888526672 |
Fax Number: | 3055037363 |
NPI Enumeration Date: | 04/05/2016 |
NPI Last Update Date: | 04/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH12933 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |