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General NPI Number Information
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NPI Number | 1619882974
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Entity Type | Organization
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Legal Business Name | ELIZABETH BEAGLE, LMHC
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 730 STATE ROUTE 143
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City | RAVENA
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State | NY
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Zip | 12143-2511
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Country | US
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Telephone | 518-708-9788
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Fax | 518-545-4196
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Provider Business Mailing Address
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Address Line | 730 STATE ROUTE 143
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City | RAVENA
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State | NY
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Zip | 12143-2511
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Country | US
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Telephone | 518-708-9788
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Fax | 518-545-4196
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Authorized Official
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Title or Position | OWNER, OPERATOR
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Name | ELIZABETH BEAGLE
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Credential | LMHC
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Telephone | 518-708-9788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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