MEDICARE: ABIGAIL BEACHY

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
1	101Y00000X	Counselor	C.2406449	OH
2	390200000X	Student in an Organized Health Care Education/Training Program	C.2305047-TRNE	OH

General Provider Information

NPI Number	:	1184305732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL BEACHY

Provider Business Mailing Address
First Line	:	11205 CONVERSE CHAPEL RD
Second Line	:
City	:	PLAIN CITY
State	:	OH
Zip	:	43064-9634
Country	:	US
Telephone Number	:	614-746-1563
Fax Number	:

Provider Business Practice Location Address
First Line	:	722 BUCKLES CT N STE 210
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-6932
Country	:	US
Telephone Number	:	614-656-7025
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2023
Last Update Date	:	01/05/2026

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Directions to “ ABIGAIL BEACHY ” Practice Location

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