Kelvin L Beatty, LCADC
Counselor, Addiction (Substance Use Disorder) in Clifton, New Jersey
1902477508- Practice location
- 777 Bloomfield Ave, Clifton, NJ 07012-1242
- Phone
- 973-594-0125
- Fax
- —
- Last updated
- July 5, 2021
Kelvin Lynn Beatty is a Counselor, Addiction (Substance Use Disorder) based in Clifton, NJ. Kelvin Lynn Beatty practices in Clifton, NJ and has the professional credentials of LCADC. The NPI Number for Kelvin Lynn Beatty is 1902477508 and holds a License No. 37LC00328300 (NJ). The current practice location address for Kelvin Lynn Beatty is 777 Bloomfield Ave, Clifton, NJ 07012-1242 and can be reached out via phone at 973-594-0125.
Provider Profile Details
- NPI Number
- 1902477508
- Provider Name
- Kelvin Lynn Beatty
- Credential
- LCADC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 777 Bloomfield Ave, Clifton, NJ 07012-1242
- Phone Number
- 973-594-0125
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 5, 2021
- Last Update Date
- July 5, 2021
- Certification Date
- July 5, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 777 Bloomfield Ave
Clifton, NJ 07012-1242 - City
- Clifton
- State
- New Jersey
- Zip
- 07012-1242
- Phone Number
- 973-594-0125
Provider Business Mailing Address Details
- Address
- 291 Prospect Ave
West Orange, NJ 07052-4205 - City
- West Orange
- State
- NJ
- Zip
- 07052-4205
- Phone Number
- 973-336-7323
License Information
- License Number
- 37LC00328300
- License State
- NJ
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near Clifton, NJ
View all Counselor, Addiction (Substance Use Disorder) providers in Clifton →- Adult Family Health Services LLCCounselor, Addiction (Substance Use Disorder) · NPI 1992277586
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- Isabel BarbieriCounselor, Addiction (Substance Use Disorder) · NPI 1629993571
- Joanna Puzio, LCADCCounselor, Addiction (Substance Use Disorder) · NPI 1447135371
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Frequently Asked Questions
What is the NPI number of Kelvin L Beatty, LCADC?
The NPI number of Kelvin L Beatty, LCADC is 1902477508. It was assigned on July 5, 2021 and is currently active in the NPPES registry.
What is the specialty of Kelvin L Beatty, LCADC?
Kelvin L Beatty, LCADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37LC00328300.
Where does Kelvin L Beatty, LCADC practice?
The practice location is 777 Bloomfield Ave, Clifton, NJ 07012-1242. The office can be reached at 973-594-0125 (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 1902477508 directly on the NPPES registry website.