Healthcare Provider Details
I. General information
NPI: 1649513342
Provider Name (Legal Business Name): ELIZABETH BEISCHEL LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/01/2013
Last Update Date: 10/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5050 MADISON RD
CINCINNATI OH
45227-1491
US
IV. Provider business mailing address
5050 MADISON RD
CINCINNATI OH
45227-1491
US
V. Phone/Fax
- Phone: 513-272-2800
- Fax: 513-631-7484
- Phone: 513-272-2800
- Fax: 513-631-7484
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 1200712.SUPV |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: