MEDICARE: LAURA MARIE BEACHAM 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
1	101YP2500X	Professional Counselor	93343	TX

General Provider Information

NPI Number	:	1144112632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA MARIE BEACHAM LPC

Provider Business Mailing Address
First Line	:	1667 W CAMPBELL RD APT 5218
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-2355
Country	:	US
Telephone Number	:	469-486-2949
Fax Number	:

Provider Business Practice Location Address
First Line	:	1667 W CAMPBELL RD APT 5218
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-2355
Country	:	US
Telephone Number	:	469-486-2949
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2025
Last Update Date	:	07/17/2025

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Directions to “ LAURA MARIE BEACHAM LPC” Practice Location

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