MS. SHUCOOLY BEECHAM


Address: 1010 W 51st St Apt 1, Chicago, IL 60609-5015
Phone: 7739719654

MS. SHUCOOLY BEECHAM (NPI# 1194341974) 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) 1194341974
Entity Type Individual
Full Name MS. SHUCOOLY BEECHAM
Credential LPC
Practice Address 1010 W 51st St Apt 1
Chicago
IL 60609-5015
Practice Telephone 7739719654
Mailing Telephone 7739719654
Enumeration Date 2020-06-17
Last Update Date 2020-06-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
178012676 IL Behavioral Health & Social Service Providers

Office Location

Street Address 1010 W 51ST ST APT 1
City CHICAGO
State IL
Zip Code 60609-5015

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Taxonomy Information

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

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60609

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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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