Beasley, David

Beasley, David is an sole proprietor health care provider with primary practice located at 408 W University Ave Ste 401A, Gainesville FL 32601-3248. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Beasley, David can be contacted via phone (352) 281-3428.

Contact Information

Primary practice address
408 W University Ave Ste 401A Gainesville FL 32601-3248
Phone: (352) 281-3428
Fax: (855) 859-1701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X MH9493 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MH9493 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH9493 Florida

Profile Details

NPI number 1649570656
LBN Legal business name Beasley, David
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2010
Last updated Oct 30th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649570656 NPPES
Florida MEDICAID 002547700

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