SANDRA LEE BEAUDRY (NPI# 1114084985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114084985 |
| Entity Type | Individual |
| Full Name | SANDRA LEE BEAUDRY |
| Other Name | SANDRA LEE MINARD |
| Credential | M.S., LMFT |
| Practice Address |
1 Junkins Ave #2 Portsmouth NH 03801-4561 |
| Practice Telephone | 6034333109 |
| Mailing Telephone | 6034333109 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 22 | NH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30010263 | 05 |
| Street Address |
1 JUNKINS AVE #2 |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801-4561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376897900 | Marci Patricia Albert | Counselor | 1 Junkins Ave, Suite # 2, Portsmouth, NH 03801-4561 | 2012-11-05 |
| 1306058664 | Portsmouth School Department | Local Education Agency (LEA) | 1 Junkins Ave, Suite 402, Portsmouth, NH 03801 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| Find all providers in zip 03801 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487028783 | Jocelyn Arruda | Marriage & Family Therapist | 275 Mccorrie Lane, Portsmouth, RI 02871 | 2015-11-24 |
| 1053662163 | Matthew Fowler | Marriage & Family Therapist | 406 The Hl, Portsmouth, NH 03801-3736 | 2012-09-28 |
| 1912293515 | Elizabeth Baker Norton | Marriage & Family Therapist | 1016 E Main Rd, 2nd Floor, Office #1, Portsmouth, RI 02871-2345 | 2011-06-22 |
| 1083908404 | Elizabeth Stevens Pollock | Marriage & Family Therapist | 104 Ferry Landing Cir, Portsmouth, RI 02871-3114 | 2011-06-02 |
| 1871899955 | Mgm Family Counseling Center Pllc | Marriage & Family Therapist | 405 The Hill, Portsmouth, NH 03801 | 2011-02-07 |
| 1508967779 | Phyllis Wendell Mackey | Marriage & Family Therapist | 1039 Islington Street, Suite 13, Portsmouth, NH 03801 | 2006-09-26 |
| 1215965371 | Joanne M Waite | Marriage & Family Therapist | 58 Flanagan Rd, Portsmouth, RI 02871-1072 | 2006-06-29 |
| 1326529231 | Portia Bayer | Marriage & Family Therapist | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2018-08-28 |
| 1992134415 | Jerome Ford | Marriage & Family Therapist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2013-11-05 |
| 1619285061 | Caitlin Gilmour Hussey | Marriage & Family Therapist | 200 International Dr, Suite 157, Portsmouth, NH 03801-6833 | 2010-09-20 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 03801 |
Please comment or provide details below to improve the information on SANDRA LEE BEAUDRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.