Beavers, Chad

Beavers, Chad is an individual health care provider with primary practice located at 901 Wallace Blvd , Amarillo TX 79106-1705. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Beavers, Chad can be contacted via phone (806) 364-6111.

Contact Information

Primary practice address
901 Wallace Blvd Amarillo TX 79106-1705
Phone: (806) 364-6111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 15841 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 15841 Texas

Profile Details

NPI number 1154360949
LBN Legal business name Beavers, Chad
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Nov 28th, 2023 - about 3 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 1154360949 NPPES
Texas MEDICAID 028935701

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