Beasley, Denitra
Beasley, Denitra is an individual health care provider with primary practice located at 2913 Betin Ave , Monroe LA 71201-7257. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Beasley, Denitra can be contacted via phone (318) 388-1250.Contact Information
Primary practice address
2913 Betin Ave
Monroe LA 71201-7257
Phone: (318) 388-1250
Fax: (318) 388-0941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6638 | Louisiana |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6638 | Louisiana |
Profile Details
| NPI number | 1497111728 |
|---|---|
| LBN Legal business name | Beasley, Denitra |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 31st, 2015 |
| Last updated | Sep 16th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497111728 | NPPES |
| Louisiana | Other | 1497111728 | PRIVATE INSURANCE |
| Louisiana | MEDICAID | 1497111728 | PRIVATE INSURANCE |
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