MEDICARE: MS. PATRICIA A BESHEARS

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	101YM0800X	OH

General Provider Information

NPI Number	:	1891024394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATRICIA A BESHEARS

Provider Business Mailing Address
First Line	:	6100 CHANNINGWAY BLVD
Second Line	:	SUITE 605
City	:	COLUMBUS
State	:	OH
Zip	:	43232-2910
Country	:	US
Telephone Number	:	614-604-6445
Fax Number	:	614-604-6449

Provider Business Practice Location Address
First Line	:	6100 CHANNINGWAY BLVD
Second Line	:	SUITE 605
City	:	COLUMBUS
State	:	OH
Zip	:	43232-2910
Country	:	US
Telephone Number	:	614-604-6445
Fax Number	:	614-604-6449

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

Provider Enumeration Date	:	12/11/2009
Last Update Date	:	12/11/2009

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