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1619882974 NPI number — ELIZABETH BEAGLE, LMHC

NPI Number: 1619882974
Health Care Provider/Practitioner: ELIZABETH BEAGLE, LMHC

Information about “1619882974” NPI (ELIZABETH BEAGLE, LMHC) exists in 1619882974 in HTML format HTML  |  1619882974 in plain Text format TXT  |  1619882974 in PDF (Portable Document Format) PDF  |  1619882974 in an XML format XML  formats.

NPI Number : 1619882974 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619882974",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ELIZABETH BEAGLE, LMHC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "730 STATE ROUTE 143",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RAVENA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12143-2511",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "518-708-9788",
    "MailingAddressFaxNumber": "518-545-4196",
    "FirstLinePracticeLocationAddress": "730 STATE ROUTE 143",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RAVENA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12143-2511",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "518-708-9788",
    "PracticeLocationAddressFaxNumber": "518-545-4196",
    "EnumerationDate": "08/18/2026",
    "LastUpdateDate": "08/18/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BEAGLE",
    "AuthorizedOfficialFirstName": "ELIZABETH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER, OPERATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMHC",
    "AuthorizedOfficialTelephoneNumber": "518-708-9788",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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