JILL RENEE BEACH LAC NPI 1477298677

NPI Information

  • NPI: 1477298677
  • Provider Name: JILL RENEE BEACH, LAC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: DELTA BEHAVIORAL HEALTH, LLC
    920 E. MEDICAL DRIVE
    MANILA, AR
    ZIP 72442
  • Phone: (870) 570-0358

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NPI Details

Jill Renee Beach, LAC is a professional counselor in Manila, AR. Jill Renee Beach, LAC NPI is 1477298677. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

DELTA BEHAVIORAL HEALTH, LLC
920 E. MEDICAL DRIVE
MANILA, AR
ZIP 72442
Phone: (870) 570-0358
Fax: (870) 570-0359

The enumeration date for this NPI number is 5/2/2022 and was last updated on 1/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalA2412004ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1283638795MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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