Individual
MELISSA J BEADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 WASHINGTON AVE, TERRE HAUTE, IN 47802-1128
(812) 917-5006
Mailing address
2704 WASHINGTON AVE STE B, VINCENNES, IN 47591-3667
(812) 891-4053
(812) 790-2307
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33008263A
IN
1041C0700X
Clinical Social Worker
Primary
34009511A
IN
Other
Enumeration date
07/25/2019
Last updated
03/25/2026
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