| Janet W Beasley, Llc | |
|
1020 Barber Creek Dr Ste 203 Watkinsville GA 30677-5983 | |
| (706) 257-3004 | |
| (706) 257-3001 |
| Full Name | Janet W Beasley, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1020 Barber Creek Dr Ste 203, Watkinsville, Georgia |
| Authorized Official Name and Position | Janet Williams Beasley (OWNER) |
| Authorized Official Contact | 6783501870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Janet W Beasley, Llc 1020 Barber Creek Dr Ste 203 Watkinsville GA 30677-5983 Ph: (706) 257-3004 | Janet W Beasley, Llc 1020 Barber Creek Dr Ste 203 Watkinsville GA 30677-5983 Ph: (706) 257-3004 |
| NPI Number | 1578397865 |
|---|---|
| Provider Enumeration Date | 08/28/2024 |
| Last Update Date | 08/28/2024 |
| Certification Date | 08/28/2024 |
| Medicare PECOS PAC ID | 4284175365 |
|---|---|
| Medicare Enrollment ID | O20240917000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578397865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Janet Marie Williams Beasley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699192435 PECOS PAC ID: 5991246001 Enrollment ID: I20240918000259 |
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