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NPI Code Detail

MEDICARE: SHOMARI BEAMON LPC

MEDICARE: SHOMARI BEAMON LPC
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
1101YP2500XProfessional Counselor46.008070CT

General Provider Information

NPI Number : 1902322084
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHOMARI BEAMON LPC
Provider Business Mailing Address
First Line : 855 LAKEWOOD RD
Second Line :
City : WATERBURY
State : CT
Zip : 06704-5408
Country : US
Telephone Number : 866-778-5444
Fax Number :
Provider Business Practice Location Address
First Line : 855 LAKEWOOD RD
Second Line :
City : WATERBURY
State : CT
Zip : 06704-5408
Country : US
Telephone Number : 888-793-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2017
Last Update Date : 08/02/2025

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Directions to “ SHOMARI BEAMON LPC” Practice Location

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