Organization · Type 2 NPI

Larry E. Beauchamp, Jr.

Community/Behavioral Health Agency · Dothan, AL

NPI number 1568923217 Active

Practice location

1450 Ross Clark Cir Ste 3
Dothan, AL 36301-4736

Fax (334) 702-1220

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

8 other providers at this address

Other community/behavioral health agency providers in Dothan

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NPI record

NPI: 1568923217
Entity type: Organization (Type 2)
Issued: Mar 26, 2019
Last updated: Mar 26, 2019
Status: Active

Other names

Larry E. Beauchamp Jr. Marriage and Family Therapist, LLC · doing business as

Authorized official

Mrs. Heather McClenny, OFFICE MANAGER
Office Manager
(334) 794-2113

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1568923217

Larry E. Beauchamp, Jr.'s National Provider Identifier is 1568923217, issued on Mar 26, 2019. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Dothan, AL. The record was last updated on Mar 26, 2019.