Active NPIIndividual provider

Sharonda A Beasley, LAC

Counselor, Mental Health in Maplewood, New Jersey

NPI Number1972264232
Practice location
111 Dunnell RD, Maplewood, NJ 07040-2678
Fax
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Last updated
January 7, 2022

Sharonda A Beasley is a Counselor, Mental Health based in Maplewood, NJ. Sharonda A Beasley practices in Maplewood, NJ and has the professional credentials of LAC. The NPI Number for Sharonda A Beasley is 1972264232 and holds a License No. 37AC00339300 (NJ). The current practice location address for Sharonda A Beasley is 111 Dunnell RD, Maplewood, NJ 07040-2678 and can be reached out via phone at 973-330-8123.

Provider Profile Details

NPI Number
1972264232
Provider Name
Sharonda A Beasley
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
111 Dunnell RD, Maplewood, NJ 07040-2678
Phone Number
973-330-8123
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
January 7, 2022
Last Update Date
January 7, 2022
Certification Date
January 6, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Dunnell RD
Maplewood, NJ 07040-2678
Zip
07040-2678
Phone Number
973-330-8123
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
Po Box 1946
Newark, NJ 07101-1946
City
Newark
State
NJ
Zip
07101-1946
Phone Number
973-902-1012

License Information

License Number
37AC00339300
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Sharonda A Beasley, LAC?

The NPI number of Sharonda A Beasley, LAC is 1972264232. It was assigned on January 7, 2022 and is currently active in the NPPES registry.

What is the specialty of Sharonda A Beasley, LAC?

Sharonda A Beasley, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00339300.

Where does Sharonda A Beasley, LAC practice?

The practice location is 111 Dunnell RD, Maplewood, NJ 07040-2678. The office can be reached at 973-330-8123 (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 1972264232 directly on the NPPES registry website.

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