| Beth North, Lcsw, Llc | |
|
2365 Centerville Rd Tallahassee FL 32308-4317 | |
| (303) 519-9517 | |
| Not Available |
| Full Name | Beth North, Lcsw, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2365 Centerville Rd, Tallahassee, Florida |
| Authorized Official Name and Position | Beth North (OWNER/THERAPIST) |
| Authorized Official Contact | 3035199517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beth North, Lcsw, Llc 3408 Whirl A Way Trl Tallahassee FL 32309-1927 Ph: (303) 519-9517 | Beth North, Lcsw, Llc 2365 Centerville Rd Tallahassee FL 32308-4317 Ph: (303) 519-9517 |
| NPI Number | 1669979480 |
|---|---|
| Provider Enumeration Date | 04/09/2018 |
| Last Update Date | 05/10/2023 |
| Certification Date | 05/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669979480 | NPI | - | NPPES |
| 117464500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | SW11034 (Florida) | Secondary |
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› Verified 7 days ago
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