MEDICARE: MRS. KATHY WILLIAMS BEAUSEJOUR LMHC

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	101YM0800X	Mental Health Counselor	23316	FL

General Provider Information

NPI Number	:	1275956906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHY WILLIAMS BEAUSEJOUR LMHC

Provider Business Mailing Address
First Line	:	520 N FALKENBURG RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-7884
Country	:	US
Telephone Number	:	727-281-6458
Fax Number	:

Provider Business Practice Location Address
First Line	:	9133 CANOPY OAK LN APT 102
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33578-4714
Country	:	US
Telephone Number	:	727-281-6458
Fax Number	:

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

Provider Enumeration Date	:	01/31/2014
Last Update Date	:	04/10/2025

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