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NPI Code Detail

MEDICARE: PATRICE N MCBEATH LPC

MEDICARE: PATRICE N MCBEATH LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor7261-125WI
2101YP2500XProfessional Counselor7261-125WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043735129
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICE N MCBEATH LPC
Provider Business Mailing Address
First Line : 4545 S 23RD ST APT 5
Second Line :
City : MILWAUKEE
State : WI
Zip : 53221-2720
Country : US
Telephone Number : 414-573-1084
Fax Number :
Provider Business Practice Location Address
First Line : 111 E WISCONSIN AVE STE 1500
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-4808
Country : US
Telephone Number : 262-999-3495
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2017
Last Update Date : 02/17/2025

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Directions to “ PATRICE N MCBEATH LPC” Practice Location

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