Individual
ERVIN ERIC BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7436 FOREST CT STE 102, IRMO, SC 29063-2856
(803) 667-2146
Mailing address
244 MIDWAY RD, LEXINGTON, SC 29072-9303
(803) 318-7272
(803) 708-7301
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6913
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1967
—
SC
Enumeration date
02/18/2016
Last updated
04/15/2025
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