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NPI Code Detail

MEDICARE: BECKETT SPRINGS, LLC

MEDICARE: BECKETT SPRINGS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician35088279OH
22084P0800XPsychiatry Physician35-050898OH
32084P0802XAddiction Psychiatry Physician35050898OH
4363LF0000XFamily Nurse PractitionerCOA05175NPOH
52084P0800XPsychiatry Physician35081126OH

General Provider Information

NPI Number : 1164856811
Entity Type Code : Organization
Provider Name (Legal Business Name) : BECKETT SPRINGS, LLC
Provider Business Mailing Address
First Line : 8614 SHEPHERD FARM DR
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-1128
Country : US
Telephone Number : 513-942-9500
Fax Number : 513-942-9591
Provider Business Practice Location Address
First Line : 8614 SHEPHERD FARM DR
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-1128
Country : US
Telephone Number : 513-942-9500
Fax Number : 513-942-9591
Authorized Official
Title or Position : DIRECTOR OF LICENSE AND REGULATION
Name : MS. DONNA SALEE WEST
Credential : RN
Telephone Number : 812-598-8989
Provider Enumeration Date : 08/29/2013
Last Update Date : 08/29/2013

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Directions to “BECKETT SPRINGS, LLC ” Practice Location

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