MEDICARE: THE TRAVELING THERAPIST CO.

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1508631177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE TRAVELING THERAPIST CO.

Provider Business Mailing Address
First Line	:	10 GLENLAKE PARKWAY
Second Line	:	SUITE 130 #1084
City	:	ATLANTA
State	:	GA
Zip	:	30328
Country	:	US
Telephone Number	:	404-319-9467
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 GLENLAKE PARKWAY
Second Line	:	SUITE 130 #1084
City	:	ATLANTA
State	:	GA
Zip	:	30328
Country	:	US
Telephone Number	:	470-991-3942
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	ALEXIS NYELAH BECKFORD
Credential	:	LCSW
Telephone Number	:	404-980-5756

Provider Enumeration Date	:	11/23/2023
Last Update Date	:	01/12/2026

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