Individual
ELISA BEAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 HERON POINTE DR, NASHVILLE, TN 37214-2562
(713) 517-3086
Mailing address
1212 HERON POINTE DR, NASHVILLE, TN 37214-2562
(713) 517-3086
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
76712
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76712
—
TX
Enumeration date
03/02/2018
Last updated
03/02/2018
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