MEDICARE: MRS. LYNN T. BEATTIE

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	101YM0800X	Mental Health Counselor	3991	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851435051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LYNN T. BEATTIE

Provider Business Mailing Address
First Line	:	P.O. BOX 26
Second Line	:
City	:	WEST END
State	:	NC
Zip	:	27376-0026
Country	:	US
Telephone Number	:	910-673-6226
Fax Number	:	910-673-6226

Provider Business Practice Location Address
First Line	:	1138 SEVEN LAKES NORTH
Second Line	:
City	:	WEST END
State	:	NC
Zip	:	27376-0026
Country	:	US
Telephone Number	:	910-673-6226
Fax Number	:	910-673-6226

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

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	10/06/2009

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