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Provider Information for 1275174765


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BARBARA JEAN BEAM LPC


Gender: Female

NPI: 1275174765
Last Updated: 2019-10-05
Certification Date:

Details

NameValue
NPI1275174765
Enumeration Date2019-10-05
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 9 SUTTON RD
SAVANNAH, GA 31419-3228
United States

Phone: 912-596-1381 | Fax:
 
Primary Practice Address 9 SUTTON RD
SAVANNAH, GA 31419-3228
United States

Phone: 912-596-1381 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalGALPC006818