MRS. MARY BEACH


Address: 50 Lydia Ln, South Portland, ME 04106-2156
Phone: 2078741175

MRS. MARY BEACH (NPI# 1013336254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013336254
Entity Type Individual
Full Name MRS. MARY BEACH
Credential LCPC-C
Practice Address 50 Lydia Ln
South Portland
ME 04106-2156
Practice Telephone 2078741175
Mailing Telephone 2078741175
Enumeration Date 2014-04-15
Last Update Date 2014-04-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
XL3731 ME Behavioral Health & Social Service Providers

Other Providers MARY BEACH

NPI Name Taxonomy Address Enumeration
1336612951 Mary B Beach Licensed Practical Nurse 12 Zinnias Ct, Homosassa, FL 34446-5628 2019-01-07
1447640719 Mary Beach Specialist 143 Howard St, Fredonia, NY 14063-2103 2015-01-26
1689736415 Mary Anne Beach Psychologist 2213 Buchanan Rd Ste 203, Antioch, CA 94509-4265 2006-12-15
1265449680 Mary L Beach Physical Therapist 527 Cedar Way, Suite 105, Oakmont, PA 15139-2068 2006-08-01
1104808195 Mary Frances Beach Pharmacist 95 Joshua Beach Ct, Fredericksburg, VA 22406-4955 2005-11-16
1003458266 Mary Beach Nurse Practitioner 3400 S Washington Rd, Saginaw, MI 48601-4958 2019-10-09
1760895650 Mary Elizabeth Beach Counselor 545 Westminster St, Fitchburg, MA 01420-4727 2014-06-09
1699051235 Mary Beach Registered Nurse 11 Kennedy Pkwy, Cortland, NY 13045-1409 2011-10-27
1013009083 Mary Lou Beach Chiropractor 409 E Front St, Bloomington, IL 61701-5309 2006-09-28

Office Location

Street Address 50 LYDIA LN
City SOUTH PORTLAND
State ME
Zip Code 04106-2156

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255415766 Kristin Ricciardone Social Worker 50 Lydia Ln, South Portland, ME 04106-2156 2006-10-24
1720632672 Amber Leigh Lombardi Dental Hygienist 50 Lydia Ln, South Portland, ME 04106-2156 2019-07-29
1841852969 Sarah M. Wass Social Worker 50 Lydia Ln, South Portland, ME 04106-2156 2019-06-29
1861997884 Hannah Williams Social Worker 50 Lydia Ln, South Portland, ME 04106-2156 2018-03-30
1770085953 Ashley D Havener Social Worker 50 Lydia Ln, South Portland, ME 04106-2156 2018-03-05
1063957819 Nicholas Sweeney Social Worker 50 Lydia Ln, South Portland, ME 04106-2156 2017-01-04
1821540451 Hailey Virusso Social Worker 50 Lydia Ln, South Portland, ME 04106-2156 2016-10-31
1740732502 Ashley Goulet Social Worker 50 Lydia Ln, South Portland, ME 04106-2156 2016-10-27
1851758874 Katie Talon Social Worker 50 Lydia Ln, South Portland, ME 04106-2156 2016-01-21
1154795680 Susan Shaw I Counselor 50 Lydia Ln, South Portland, ME 04106-2156 2015-11-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912513748 Rayna Louise Sage Behavior Technician 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 2020-09-17
1972127330 Scott M Davis Md LLC Internal Medicine 89 Cannon Road, South Portland, ME 04106 2020-06-02
1568013936 Clara Cassidy Behavior Technician 50 Donald Bean Dr, Ste B, South Portland, ME 04106 2019-09-26
1336614346 Kari Whitney Nurse Practitioner Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 2018-10-05
1588152193 Kristen F. Pierce Counselor 100 Waterman Drive, Suite 201, South Portland, ME 04106 2018-04-30
1649779224 Jennifer Rene Johnson Social Worker 135 Westbrook St, South Portland, ME 04106 2018-02-08
1154847721 Integral Nutrition, LLC Dietitian, Registered 59 Baltimore Avenue, South Portland, ME 04106 2017-08-16
1730619610 John Preston Powell Psychiatry & Neurology 68 B Street Apt 4, South Portland, ME 04106 2017-06-14
1649706268 Gisselle Mani Student in an Organized Health Care Education/Training Program 30 Lydia Ln Apt 2115, South Portland, ME 04106 2017-05-02
1245786987 Jonathan Frank Olmes Optometrist 335 Maine Mall Rd., South Portland, ME 04106 2016-09-01
Find all providers in zip 04106

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588152193 Kristen F. Pierce Counselor 100 Waterman Drive, Suite 201, South Portland, ME 04106 2018-04-30
1679009849 Nicole Sawyer Counselor 100 Gannett Dr # Dr, South Portland, ME 04106-5900 2017-05-10
1417224312 Shannon E Morris Counselor 39 Carver Blvd, South Portland, ME 04106-3504 2011-11-20
1629376637 Dori Hart Counselor 53 Mussey St, South Portland, ME 04106-2016 2011-03-01
1639300635 L.anna Rutherford Counselor 41 Edmund S Muskie St, South Portland, ME 04106-1507 2009-08-07
1790887859 Emily E Morse Counselor 63 Ocean St, South Portland, ME 04106-2828 2006-09-01
1346265006 Basil Minot Steele Counselor 33 Myrtle Ave, South Portland, ME 04106-1618 2006-07-13
1245846971 Healing Tide Therapy LLC Counselor 29 Eliot St, South Portland, ME 04106-5919 2020-09-18
1689159253 Maria Kathryn Reali Counselor 49 Atlantic Pl, South Portland, ME 04106-2316 2018-09-30
1053891218 Michael Pepin Counselor 280b Gannett Dr, South Portland, ME 04106-6940 2018-08-17
Find all providers in SOUTH PORTLAND

Competitor

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City SOUTH PORTLAND
Zip Code 04106

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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