Theresa Marie Beach in Canandaigua - Mental Health
Theresa Marie Beach - NPI 1073562542
Theresa Marie Beach is a Mental Health in Canandaigua, New York. Theresa Marie Beach practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Theresa Marie Beach is 1073562542. The last update date is 2010-07-13.
Theresa Marie Beach's current location address is 527 N Main St, Canandaigua, New York. You can contact this provider via phone number 5853941294 and fax number 5853941294. The mailing address for Theresa Marie Beach is 527 N Main St, Canandaigua, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Marie Beach |
|---|---|
| Address | 527 N Main St, Canandaigua, New York |
| Phone Number | 5853941294 |
| Fax Number | 5853941294 |
| Sole Proprietor | Y |
| Credentials | LCSW R |
NPI Number Detail
| NPI Number | 1073562542 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2010-07-13 |
Provider Mailing Address Detail
| Address | 527 N Main St |
|---|---|
| City | Canandaigua |
| State | New York (NY) |
| Post Code | 144241021 |
| Phone Number | 5853941294 |
| Fax Number | 5853941294 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | R044998 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 338407 | NY | MVP VALUE OPTIONS | |
| P010044998 | NY | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Theresa Marie Beach's unique identification number?
The Theresa Marie Beach has been assigned the NPI (National Provider Identifier) Number 1073562542 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Theresa Marie Beach located?
The Theresa Marie Beach is located at 527 N Main St, Canandaigua, NY 144241021.
What is Theresa Marie Beach's specialized field of practice, and what is the corresponding taxonomy classification code?
The Theresa Marie Beach's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073562542 to Theresa Marie Beach?
The Centers for Medicare & Medicaid Services assigned the 1073562542 to Theresa Marie Beach on 2006-05-10.
As of what date was the information regarding Theresa Marie Beach, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Theresa Marie Beach, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-07-13.