RAVEN BEASLEY TLLP
NPI 1114644135
Psychologist in Plymouth, MI

Active since October 20, 2022
705 S MAIN ST STE 280, PLYMOUTH, MI 48170(734) 454-3560 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Raven Beasley Tllp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVEN BEASLEY TLLP (NPI 1114644135) is an individual psychologist in Plymouth, Michigan and active in the NPI registry since October 2022. She maintains a secondary practice location in Bingham Farms.

NPPES Registry Identity

NPI1114644135
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameRAVEN BEASLEYCredential: TLLP
Location Address705 S MAIN ST STE 280Plymouth, MI 48170-1060
Mailing Address14111 Greenview RdDetroit, MI 48223-2911 · (734) 957-6304
Sole ProprietorNo
Enumeration DateOctober 20, 2022
NPPES CertifiedOctober 20, 2022
NPI 1114644135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
705 S MAIN ST STE 280, Plymouth, MI 48170

Secondary Practice Location 1

Location 131000 Telegraph Rd Ste 120Bingham Farms, MI 48025-4321 · Phone (248) 594-4991

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
705 S MAIN ST STE 280
PLYMOUTH, MI 48170
Psychologist
705 S MAIN ST STE 280
PLYMOUTH, MI 48170
Clinic/Center (Mental Health (Including Community Mental Health Center))
705 S MAIN ST STE 280
PLYMOUTH, MI 48170
Marriage & Family Therapist
705 S MAIN ST STE 280
PLYMOUTH, MI 48170
Psychologist (Clinical)
705 S MAIN ST STE 280
PLYMOUTH, MI 48170
Social Worker
705 S MAIN ST STE 280
PLYMOUTH, MI 48170
Psychologist
705 S MAIN ST STE 280
PLYMOUTH, MI 48170
Social Worker
705 S MAIN ST STE 280
PLYMOUTH, MI 48170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raven Beasley's NPI number?

The NPI number for Raven Beasley is 1114644135. It was assigned to this individual provider in the NPPES registry on October 20, 2022.

Where is Raven Beasley located?

Raven Beasley practices at 705 S Main St Ste 280, Plymouth, MI 48170. The listed phone number is (734) 454-3560.

What is Raven Beasley's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Raven Beasley was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.