Healthcare Provider Details

I. General information

NPI: 1679414965
Provider Name (Legal Business Name): ANDREA M BEAS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 VIRGINIA AVE NW STE 205
WASHINGTON DC
20037-1945
US

IV. Provider business mailing address

9053 SHADY GROVE CT
GAITHERSBURG MD
20877-1301
US

V. Phone/Fax

Practice location:
  • Phone: 240-810-3790
  • Fax:
Mailing address:
  • Phone: 240-810-3790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGPC200012540
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: