Individual
CHARMAINE BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2504 MCCAIN BLVD STE 118, NORTH LITTLE ROCK, AR 72116-7624
(501) 812-6655
(501) 812-6677
Mailing address
2504 MCCAIN BLVD STE 118, NORTH LITTLE ROCK, AR 72116-7624
(501) 812-6655
(501) 812-6677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1602017
AR
101YM0800X
Mental Health Counselor
Primary
P1801007
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180635526
—
AR
Enumeration date
04/19/2016
Last updated
03/17/2018
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