Jenny C Beasley, | |
305 Independence Blvd, Sicklerville, NJ 08081-1093 | |
(609) 350-5007 | |
Not Available |
Full Name | Jenny C Beasley |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 305 Independence Blvd, Sicklerville, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932553922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 37AC00307900 (New Jersey) | Secondary |
101YM0800X | Counselor - Mental Health | 37PC00690100 (New Jersey) | Primary |
Entity Name | Beautiful Minds Therapy And Consultation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255839528 PECOS PAC ID: 5890039168 Enrollment ID: O20181128001403 |
Mailing Address | Practice Location Address |
---|---|
Jenny C Beasley, 305 Independence Blvd, Sicklerville, NJ 08081-1093 Ph: (609) 350-5007 | Jenny C Beasley, 305 Independence Blvd, Sicklerville, NJ 08081-1093 Ph: (609) 350-5007 |
Jacqueline Thomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Independence Blvd, Sicklerville, NJ 08081 Phone: 856-861-5448 | |
April Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Independence Blvd, Sicklerville, NJ 08081 Phone: 856-861-5448 | |
Kia Brooks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 Conifer Way, Sicklerville, NJ 08081 Phone: 856-493-8172 | |
Giovon Washington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Independence Blvd, Sicklerville, NJ 08081 Phone: 856-861-5448 | |
Kenneth Selby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Independence Blvd, Sicklerville, NJ 08081 Phone: 856-861-5448 | |
Tyeka Morris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Independence Blvd, Sicklerville, NJ 08081 Phone: 856-861-5448 | |
Samira Deberry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 Independence Blvd, Sicklerville, NJ 08081 Phone: 856-861-5448 |