DIAMOND BEACHUM (NPI# 1255713905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255713905 |
| Entity Type | Individual |
| Full Name | DIAMOND BEACHUM |
| Practice Address |
770 Woodlane Road Mt. Holly NJ 08060 |
| Practice Telephone | 6092675928 |
| Mailing Telephone | 6092675928 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
770 WOODLANE ROAD |
| City | MT. HOLLY |
| State | NJ |
| Zip Code | 08060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982031050 | Alisha Bishop | Counselor | 770 Woodlane Road, Mt. Holly, NJ 08060 | 2013-10-03 |
| 1205207156 | Sandra Burns | Counselor | 770 Woodlane Road, Suite 35, Mt. Holly, NJ 08060 | 2015-10-16 |
| 1801278296 | Brenda Lee Peterkin | Counselor | 770 Woodlane Road, Mt. Holly, NJ 08060 | 2015-06-23 |
| 1730569658 | Ahmad Crump | Counselor | 770 Woodlane Road, Suite 35, Mt. Holly, NJ 08060 | 2015-06-05 |
| 1477930667 | Debra Holland | Counselor | 770 Woodlane Road, Mt. Holly, NJ 08060 | 2015-04-27 |
| 1902298144 | Nissa Erin Boykin | Counselor | 770 Woodlane Road, Mt. Holly, NJ 08060 | 2015-02-25 |
| 1649662818 | Jasmyne Harper | Counselor | 770 Woodlane Road, Mt. Holly, NJ 08060 | 2015-02-25 |
| 1487046868 | Renee Roache | Social Worker | 770 Woodlane Road, Mt. Holly, NJ 08060 | 2015-02-23 |
| 1790175685 | Lisa Robertson-wilson | Counselor | 770 Woodlane Road, Mt. Holly, NJ 08060 | 2015-01-29 |
| 1740687136 | Nyasia Batie | Counselor | 770 Woodlane Road, Mt. Holly, NJ 08060 | 2014-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613092 | Priscilla Gonzales | Counselor | 795 Woodlane Road, Suite 301, Mount Holly, NJ 08060 | 2020-06-12 |
| 1255838157 | Frederick Hart IIi | Occupational Therapist | 1934 Burlington-mt. Holly Road Suite A, Westampton, NJ 08060 | 2018-04-09 |
| 1457860116 | Lea Gartenmayer | Speech-Language Pathologist | 1934 Burlington-mount Holly Rd, Westampton, NJ 08060 | 2017-09-26 |
| 1295261618 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 202 Burrs Rd, Westampton, NJ 08060 | 2017-05-04 |
| 1871038620 | Michael Green. | Counselor | 770 Wooland Road, Westampton, NJ 08060 | 2017-01-04 |
| 1851841696 | Virtua Medical Group, Pa | Clinic/Center | 555 High St, Suite 16a, Mount Holly, NJ 08060 | 2016-10-05 |
| 1821441213 | Joseph Cooper Sr. | Counselor | 770 Woodlene Road, Westampton, NJ 08060 | 2016-07-20 |
| 1790148724 | Leah Holden | Pharmacist | 531 High St, Mt Holly, NJ 08060 | 2016-03-29 |
| 1083088892 | Joanne Hawkins | Counselor | 770 Woodlane Rd. Suite 35, Mt. Holly, NJ 08060 | 2015-11-17 |
| 1730557448 | Legacy Treatment Services | In Home Supportive Care | 243 Pine Street, Mount Holly, NJ 08060 | 2015-09-11 |
| Find all providers in zip 08060 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851847081 | Ana Carvajal | Counselor | 770 Woodllane Rd, Mt. Holly, NJ 08060-0806 | 2016-08-28 |
| 1083088892 | Joanne Hawkins | Counselor | 770 Woodlane Rd. Suite 35, Mt. Holly, NJ 08060 | 2015-11-17 |
| 1003297870 | Gabriela Beatriz Ortiz | Counselor | 770 Woodland Road - Suite 35, Mt. Holly, NJ 08060 | 2015-06-17 |
| 1982097622 | Kenniqua West | Counselor | 700 Woodlane Road, Mt. Holly, NJ 08060 | 2015-03-05 |
| 1740687318 | Michelle Kelly | Counselor | 770 Woodlane Ave, Mt. Holly, NJ 08060 | 2014-11-26 |
| 1962809970 | Patriece Nicole Kennedy | Counselor | 770 Wooflane Rd, Mt. Holly, NJ 08060 | 2014-11-20 |
| 1306263827 | Amanda Fee | Counselor | 770 Woodland Rd, Mt. Holly, NJ 08060 | 2014-03-21 |
| 1780008136 | Alexander Park | Counselor | 770 Woodland Road, Mt. Holly, NJ 08048 | 2014-02-05 |
| 1982031050 | Alisha Bishop | Counselor | 770 Woodlane Road, Mt. Holly, NJ 08060 | 2013-10-03 |
| 1871882134 | Shirley Aselli Acosta | Counselor | 770 Woodlane Rd., Mt. Holly, NJ 08060-2504 | 2011-04-07 |
| Find all providers in MT. HOLLY | ||||
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| 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.