Organization
JEANNIE K BEAUSHAW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNIE KAYE BEAUSHAW LPC, NCC (OWNER)
(985) 502-0264
Entity
Organization
Contact information
Practice address
119 VILLAGE ST, SUITE A, SLIDELL, LA 70458-5301
(985) 502-0264
Mailing address
119 VILLAGE ST, SUITE A, SLIDELL, LA 70458-5301
(985) 502-0264
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1942
LA
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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