# MARCIE BEASLEY PHAM LMFT, A MARRIAGE AND FAMILY THERAPY PROFESSIONAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235769035
- **Authorized official:** MARCIE BEASLEY PHAM MA, LMFT (PRESIDENT)
- **Authorized official phone:** (949) 877-4872

## Contact information

- **Practice address:** 1001 DOVE ST STE 105, NEWPORT BEACH, CA 92660-2838
- **Practice address phone:** (949) 877-4872
- **Mailing address:** 1001 DOVE ST STE 105, NEWPORT BEACH, CA 92660-2838
- **Mailing address phone:** (949) 877-4872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/21/2020
- **Last updated:** 01/27/2021