Doctor Name: | CAROLINE H BEAVERS |
NPI Number: | 1033497599 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 2257 |
Business Practice Address: | 311 Franklin Rd Brentwood, TN - 370275213 |
Business Phone Number: | 6153712550 |
Business Fax Number: | |
Mailing Address: | 311 Franklin Rd, BRENTWOOD |
State: | TN |
Postal Code: | 370275213 |
Phone Number: | 6153712550 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2011 |
NPI Last Update Date: | 08/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2257 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |