MEDICARE: MRS. RAMONA DENSIE BEASLEY MFT, LCADC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	00164-S	NV
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	00178-LC	NV
3	106H00000X	Marriage & Family Therapist	MF01099	NV

General Provider Information

NPI Number	:	1356552897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RAMONA DENSIE BEASLEY MFT, LCADC

Provider Business Mailing Address
First Line	:	3520 E TROPICANA AVE STE 2C
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-7310
Country	:	US
Telephone Number	:	702-605-2766
Fax Number	:	702-938-9056

Provider Business Practice Location Address
First Line	:	3520 E TROPICANA AVE STE 2C
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-7310
Country	:	US
Telephone Number	:	702-605-2766
Fax Number	:	702-938-9056

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

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	10/23/2025

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