DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BEAU PALMER

MEDICARE: BEAU PALMER
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.163863OH

General Provider Information

NPI Number : 1053809004
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEAU PALMER
Provider Business Mailing Address
First Line : 110 HIGHLAND AVE
Second Line :
City : CIRCLEVILLE
State : OH
Zip : 43113-1208
Country : US
Telephone Number : 740-477-2779
Fax Number :
Provider Business Practice Location Address
First Line : 121 W MULBERRY ST
Second Line :
City : LANCASTER
State : OH
Zip : 43130-3014
Country : US
Telephone Number : 740-277-7512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2018
Last Update Date : 02/12/2026

Similar Medicare Providers

1316892714 — THOMAS LEE MAUGHMER JR.
Practice Location Address:
121 W MULBERRY ST
LANCASTER, OH
43130-3014
Practice Phone: 740-277-7512
Practice Fax:
1720576390 — DIXIE COLLINS LCDCIII
Practice Location Address:
121 W MULBERRY ST
LANCASTER, OH
43130-3014
Practice Phone: 740-277-7512
Practice Fax:
1124612841 — FRANK RAYMOND ARMSTEAD
Practice Location Address:
121 W MULBERRY ST
LANCASTER, OH
43130-3014
Practice Phone: 740-277-7512
Practice Fax:
1043893423 — SARAH ABBEY SHEPARD CPRS
Practice Location Address:
121 W MULBERRY ST
LANCASTER, OH
43130-3014
Practice Phone: 740-277-7512
Practice Fax:
1518602648 — MRS. SAMANTHA MOUNT CPRS
Practice Location Address:
121 W MULBERRY ST
LANCASTER, OH
43130-3014
Practice Phone: 740-277-7512
Practice Fax:
1982384343 — SASHA LAUREN MATTOX CDCA
Practice Location Address:
121 W MULBERRY ST
LANCASTER, OH
43130-3014
Practice Phone: 740-277-7512
Practice Fax:

Directions to “ BEAU PALMER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.