MRS. MICHELLE BEASLEY
NPI 1215474796
Counselor - Mental Health in Oakland, CA
Active since January 23, 2017
About Mrs. Michelle Beasley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MICHELLE BEASLEY (NPI 1215474796) is an individual mental health provider in Oakland, California, licensed in California (13290) and active in the NPI registry since January 2017.
NPPES Registry Identity
NPI1215474796
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. MICHELLE BEASLEY
Location Address2115 HIGH STOakland, CA 94601-4335
Mailing Address2115 High StOakland, CA 94601-4335 · (510) 393-8559
Phone(510) 393-8559
Sole ProprietorNo
Enumeration DateJanuary 23, 2017
Last NPPES UpdateSeptember 12, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1215474796 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 13290
2115 HIGH ST, Oakland, CA 94601
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Residential Treatment Facility, Emotionally Disturbed Children
2115 HIGH ST
OAKLAND, CA 94601
OAKLAND, CA 94601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215474796, enumerated as an "individual" on January 23, 2017.
The provider is located at 2115 HIGH ST OAKLAND, CA 94601 and the phone number is (510) 393-8559.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
