Individual
CAROL JOANN BEATHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD LCSW MSW
Contact information
Practice address
330 W LEXINGTON AVE, SUITE 206, ELKHART, IN 46516
(574) 293-5991
(574) 293-5429
Mailing address
330 W LEXINGTON AVE, SUITE 206, ELKHART, IN 46516
(574) 293-5991
(574) 293-5429
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
34000509A
IN
106H00000X
Marriage & Family Therapist
Primary
34000509A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000183551
BCBS ANTHEM
—
Enumeration date
10/23/2006
Last updated
09/11/2025
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