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General NPI Number Information
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NPI Number | 1326851163
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Entity Type | Organization
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Legal Business Name | BECKHAM COUNSELING LLC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 1133 LOUISIANA AVE STE 208
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City | WINTER PARK
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State | FL
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Zip | 32789-2350
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Country | US
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Telephone | 407-617-3409
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Fax |
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Provider Business Mailing Address
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Address Line | 1133 LOUISIANA AVE STE 208
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City | WINTER PARK
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State | FL
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Zip | 32789-2350
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Country | US
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Telephone | 407-617-3409
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT MATTHEW BECKHAM
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Credential | LMHC, NCC
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Telephone | 407-617-3409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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