| Doctor Name: | JAMES I. BEARD |
| NPI Number: | 1295889293 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., LCSW |
| License Number: | MH 7015 |
| Business Practice Address: | 16483 Se 252nd Ct Umatilla, FL - 327849408 |
| Business Phone Number: | 3526696049 |
| Business Fax Number: | 3526696028 |
| Mailing Address: | 16483 Se 252nd Ct, UMATILLA |
| State: | FL |
| Postal Code: | 327849408 |
| Phone Number: | 3526696049 |
| Fax Number: | 3526696028 |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH 7015 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |