| Doctor Name: | BEVERLY JOI MATTHEWS |
| NPI Number: | 1023254281 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS |
| License Number: | 3905 |
| Business Practice Address: | 1014 Canton St Roswell, GA - 300753615 |
| Business Phone Number: | 7709932676 |
| Business Fax Number: | 7709931118 |
| Mailing Address: | 1827 Powers Ferry Rd Se, Bldg 7, Ste 350 ATLANTA |
| State: | GA |
| Postal Code: | 303395621 |
| Phone Number: | 7708180070 |
| Fax Number: | 7708180068 |
| NPI Enumeration Date: | 12/18/2008 |
| NPI Last Update Date: | 12/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3905 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |