National Provider Identifier
Theresa Marie Beach, LCSW R
Theresa Marie Beach, LCSW R is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Canandaigua, NY and a listed phone number of (585) 394-1294.
Profile Overview
- NPI
- 1073562542
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- May 10, 2006
- Last Updated
- July 13, 2010
Practice Location
- 527 N Main St
- Canandaigua, NY 14424-1021
Phone: (585) 394-1294
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1073562542
- Entity Type
- Individual
- Last Name
- Beach
- First Name
- Theresa
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- LCSW R
- Mailing Street Address
- 527 N Main St
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1021
- Mailing Country
- US
- Mailing Phone
- (585) 394-1294
- Mailing Fax
- (585) 394-1294
- Practice Street Address
- 527 N Main St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1021
- Practice Country
- US
- Practice Phone
- (585) 394-1294
- Practice Fax
- (585) 394-1294
- Enumeration Date
- May 10, 2006
- Last Updated
- July 13, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)
- Other Identifiers
- 338407 (NY, Mvp Value Options), P010044998 (NY, Blue Cross Blue Shield)