JILLIAN N BEAM


Address: 763-765 Nostrand Ave, Ste#1, Brooklyn, NY 11216
Phone: 7182308600

JILLIAN N BEAM (NPI# 1871073171) 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) 1871073171
Entity Type Individual
Full Name JILLIAN N BEAM
Credential CASAC
Practice Address 763-765 Nostrand Ave
Ste#1
Brooklyn
NY 11216
Practice Telephone 7182308600
Practice Fax Number 7182282013
Mailing Telephone 7182308600
Mailing Fax Number 7182282013
Enumeration Date 2018-08-16
Last Update Date 2018-08-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
06681 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY LICENSE 26681 01

Office Location

Street Address 763-765 NOSTRAND AVE,
STE#1
City BROOKLYN
State NY
Zip Code 11216

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1336783331 Alemash Asfaw Counselor 175 Remsen St Ste 9, Brooklyn, NY 11201-4333 2019-11-01
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Competitor

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City BROOKLYN
Zip Code 11216

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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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