Healthcare Provider Details

I. General information

NPI: 1710280029
Provider Name (Legal Business Name): BETH LEIGH HAUSER LCMHC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETH LEIGH BARRINGTON

II. Dates (important events)

Enumeration Date: 12/08/2010
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13500 NC HIGHWAY 50 STE 225
SURF CITY NC
28445-7934
US

IV. Provider business mailing address

604 ALSTON BLVD
HAMPSTEAD NC
28443-8124
US

V. Phone/Fax

Practice location:
  • Phone: 910-689-4601
  • Fax:
Mailing address:
  • Phone: 910-689-4601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4409
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number97943
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9132
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: