Healthcare Provider Details

I. General information

NPI: 1063933943
Provider Name (Legal Business Name): HALEY BECKWITH LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2017
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 8255
BEND OR
97708-8255
US

IV. Provider business mailing address

PO BOX 8255
BEND OR
97708-8255
US

V. Phone/Fax

Practice location:
  • Phone: 805-699-6668
  • Fax:
Mailing address:
  • Phone: 805-699-5242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number93685
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: