Individual provider · Type 1 NPI

Eddie Richard Beach Iii, LPC

Mental Health Counselor · Janesville, WI

NPI number 1164344552 Active

Practice location

4504 Tanglewood Dr
Janesville, WI 53546-3509

Call (888) 688-9296 Map

Mailing address

3155 Olsen Dr Ste 375
San Jose, CA 95117-1688

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6401226101 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1164344552

Eddie Richard Beach Iii, LPC's National Provider Identifier is 1164344552, issued on Jul 28, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Janesville, WI. The record was last updated on Jul 28, 2026.