Active NPIIndividual providerSole proprietor

Mr. Beaufort Addison III

Counselor, Mental Health in Lithonia, Georgia

NPI Number1205413481
Practice location
5576 Oak Bend Pl, Lithonia, GA 30058-3302
Fax
—
Last updated
March 25, 2021

Mr. Beaufort Addison III is a Counselor, Mental Health based in Lithonia, GA. The NPI number for Mr. Beaufort Addison III is 1205413481. The current practice location address is 5576 Oak Bend Pl, Lithonia, GA 30058-3302 and the office can be reached by phone at 803-664-4007. The NPI was assigned on March 25, 2021 and the record was last updated in NPPES on March 25, 2021.

●Provider Profile Details

NPI Number
1205413481
Provider Name
Beaufort Addison
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Enumeration Date
March 25, 2021
Last Update Date
March 25, 2021
Certification Date
March 25, 2021
NPI Status
Active

◉Business Practice Location Address

Address
5576 Oak Bend Pl
Lithonia, GA 30058-3302
State
Georgia
ZIP
30058-3302
Country
US
Phone Number
803-664-4007

Get directions →

✉Business Mailing Address

Address
5576 Oak Bend Pl
Lithonia, GA 30058-3302
City
Lithonia
State
GA
ZIP
30058-3302
Phone Number
803-664-4007

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Mental Health101YM0800XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

☉Other providers near Lithonia, GA

View all providers in Lithonia →

?Frequently Asked Questions

What is the NPI number of Mr. Beaufort Addison III?

The NPI number of Mr. Beaufort Addison III is 1205413481. It was assigned on March 25, 2021 and is currently active in the NPPES registry.

What is the specialty of Mr. Beaufort Addison III?

Mr. Beaufort Addison III is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Mr. Beaufort Addison III practice?

The practice location is 5576 Oak Bend Pl, Lithonia, GA 30058-3302. The office can be reached at 803-664-4007 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205413481 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

Browse related providers