Organization
BEYAKTIVE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW ADAM BEYAK LPC, LAC, NCC (OWNER)
(719) 433-0715
Entity
Organization
Contact information
Practice address
3958 N ACADEMY BLVD STE 113, COLORADO SPRINGS, CO 80917-5911
(719) 433-0715
Mailing address
PO BOX 64109, COLORADO SPRINGS, CO 80962-4109
(719) 641-9806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
09/07/2023
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