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Carolyn Beaty
Pastoral Counselor in Cordova, Tennessee
NPI 1902516412

Carolyn Beaty is a Pastoral Counselor based in Cordova, TN and is specialized in Pastoral. Carolyn Beaty practices in Cordova, TN. The NPI Number for Carolyn Beaty is 1902516412 and holds a License No. (Tennessee).

The current practice location address for Carolyn Beaty is 1684 Huntgate Cv, Cordova, TN and can be reached out via phone at 901-268-7484.

Location: 1684 Huntgate Cv, Cordova, TN, 38016-1429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902516412
Provider Name
Carolyn Beaty
Credential
Provider Entity Type
Individual
Gender
Female
Address
1684 Huntgate Cv, Cordova, TN, 38016-1429
Phone Number
901-268-7484
Fax Number
Provider Enumeration Date
11/25/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
88-4058603 05 TN
institution
Provider Business Practice Location Address Details
Address
1684 Huntgate Cv
City
Cordova
State
Tennessee
Zip
38016-1429
Phone Number
901-268-7484
Fax Number
person
Provider Business Mailing Address Details
Address
1684 Huntgate Cv
City
Cordova
State
Tennessee
Zip
38016-1429
Phone Number
901-268-7484
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
(Tennessee)
Definition
Definition to come...
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