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NPI Code Detail

MEDICARE: SCOTT DAVID BEACH LCDCII

MEDICARE: SCOTT DAVID BEACH LCDCII
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
1171M00000XCase Manager/Care Coordinator
2101YA0400XAddiction (Substance Use Disorder) CounselorLCDCII.161890OH

General Provider Information

NPI Number : 1144723370
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT DAVID BEACH LCDCII
Provider Business Mailing Address
First Line : 4600 MONTGOMERY RD STE 400
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2600
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1505 N COLE ST
Second Line :
City : LIMA
State : OH
Zip : 45801-2432
Country : US
Telephone Number : 866-934-7450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2018
Last Update Date : 01/12/2026

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Directions to “ SCOTT DAVID BEACH LCDCII” Practice Location

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