Larry Beverly II
Counselor, Mental Health in Putnam, Connecticut
1801233689- Practice location
- 391 Pomfret St, Putnam, CT 06260-1852
- Phone
- 860-963-6763
- Fax
- 860-963-6764
- Last updated
- June 3, 2013
Larry Beverly is a Counselor, Mental Health based in Putnam, CT. Larry Beverly practices in Putnam, CT. The NPI Number for Larry Beverly is 1801233689. The current practice location address for Larry Beverly is 391 Pomfret St, Putnam, CT 06260-1852 and can be reached out via phone at 860-963-6763 and via fax at 860-963-6764.
Provider Profile Details
- NPI Number
- 1801233689
- Provider Name
- Larry Beverly
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 391 Pomfret St, Putnam, CT 06260-1852
- Phone Number
- 860-963-6763
- Fax Number
- 860-963-6764
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 3, 2013
- Last Update Date
- June 3, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 391 Pomfret St
Putnam, CT 06260-1852 - City
- Putnam
- State
- Connecticut
- Zip
- 06260-1852
- Phone Number
- 860-963-6763
- Fax Number
- 860-963-6764
Provider Business Mailing Address Details
- Address
- 391 Pomfret St
Putnam, CT 06260-1852 - City
- Putnam
- State
- CT
- Zip
- 06260-1852
- Phone Number
- 860-963-6763
- Fax Number
- 860-963-6764
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Larry Beverly II?
The NPI number of Larry Beverly II is 1801233689. It was assigned on June 3, 2013 and is currently active in the NPPES registry.
What is the specialty of Larry Beverly II?
Larry Beverly II is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Larry Beverly II practice?
The practice location is 391 Pomfret St, Putnam, CT 06260-1852. The office can be reached at 860-963-6763 (phone) or 860-963-6764 (fax).
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 1801233689 directly on the NPPES registry website.