ERVIN ERIC BEASLEY


Address: 244 Midway Rd, Lexington, SC 29072
Phone: 8036672146

ERVIN ERIC BEASLEY (NPI# 1194184176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194184176
Entity Type Individual
Full Name ERVIN ERIC BEASLEY
Credential LPC
Practice Address 244 Midway Rd
Lexington
SC 29072
Mailing Address 244 Midway Rd
Lexington
SC 29072-9303
Practice Telephone 8036672146
Mailing Telephone 8033187272
Mailing Fax Number 8037087301
Enumeration Date 2016-02-18
Last Update Date 2019-09-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
6913 SC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC PC1967 05

Office Location

Street Address 244 MIDWAY RD
City LEXINGTON
State SC
Zip Code 29072

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1194380600 Lexington County Health Services District, Inc. Clinic/Center 154 Saluda Pointe Ct, Lexington, SC 29072 2019-05-09
1962973768 William R. Key Counselor Lexington Community Mental Health Center, 301 Palmetto Park Boulevard, Lexington, SC 29072 2018-12-06
1639651961 Lindsey Terry Social Worker 108 Palmetto Pk. Boulveard, Suite D, Lexington, SC 29072 2018-09-04
1922594126 Dental Professional of South Carolina, P.C. Dentist 2448 Augusta Hwy, Lexington, SC 29072 2018-07-11
1598251605 Lynn Marceline Beckett-lowe Nurse Practitioner 124 Pink Camellia Lane, Lexington, SC 29072 2018-07-02
1083120620 Diana Reiss Counselor 714 S Lake Drive, 120, Lexington, SC 29072 2017-12-19
1649781857 Constance Jean Lynch Occupational Therapist 800 North Lake Boulevard, Lexington, SC 29072 2017-10-14
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1215560479 Mary Elizabeth Ford Counselor 130 Gibson Rd, Lexington, SC 29072-3429 2020-02-17
1689205809 Jonathan Mitchell, LLC Counselor 3175 Custer Dr Ste 303, Lexington, KY 40517-4023 2020-01-27
1417594482 Kevin B Record Counselor 844 Natchez Trace Dr, Lexington, TN 38351 2019-12-09
1902453640 Grace T. Hallak Counselor 513 Darby Creek Rd, Lexington, KY 40509 2019-08-19
1912561887 Molly Elizabeth Pallavicini Counselor Rockbridge Area Health Center, 25 Northridge Lane, Lexington, VA 24450 2019-04-26
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Competitor

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City LEXINGTON
Zip Code 29072

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Dataset Information

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.

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