Organization
BEACHSIDE MENTAL HEALTH COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY D JOHNSON PHD, LMHC-D (OWNER)
(347) 343-3000
Entity
Organization
Contact information
Practice address
151 W BEECH ST, LONG BEACH, NY 11561-3303
(347) 343-3000
Mailing address
151 W BEECH ST, LONG BEACH, NY 11561-3303
(347) 343-3000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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