Beckham, Melissia Elaine
Beckham, Melissia Elaine is an sole proprietor health care provider with primary practice located at 2201 S W S Young Dr Ste 117A1 , Killeen TX 76543-5338. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Agencies / Case Management, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Beckham, Melissia Elaine can be contacted via phone (254) 415-7989.Contact Information
Primary practice address
2201 S W S Young Dr Ste 117A1
Killeen TX 76543-5338
Phone: (254) 415-7989
Fax: (254) 699-7309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 34547 | Texas |
| Agencies / Case Management | 251B00000X | 34547 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34547 | Texas |
Profile Details
| NPI number | 1245470277 |
|---|---|
| LBN Legal business name | Beckham, Melissia Elaine |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 4th, 2009 |
| Last updated | Dec 20th, 2017 - about 9 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 | 1245470277 | NPPES |
| Texas | MEDICAID | 2140832-01 |
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