ROCKLAN BEAVERS M.A.
NPI 1255135711
Counselor - Mental Health in Benton, TN
Active since April 03, 2025
About Rocklan Beavers M.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROCKLAN BEAVERS M.A. (NPI 1255135711) is an individual mental health provider in Benton, Tennessee, licensed in Tennessee (8408) and active in the NPI registry since April 2025.
NPPES Registry Identity
NPI1255135711
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameROCKLAN BEAVERSCredential: M.A.
Location Address5840 TN-30Benton, TN 37307
Mailing Address5842 Highway 30Benton, TN 37307-4734 · (406) 206-9255
Phone(706) 573-4110
Sole ProprietorNo
Enumeration DateApril 3, 2025
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1255135711 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 TN · 8408
5840 TN-30, Benton, TN 37307
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255135711, enumerated as an "individual" on April 03, 2025.
The provider is located at 5840 TN-30 BENTON, TN 37307 and the phone number is (706) 573-4110.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
