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MARK BRIAN BEATHARD
NPI 1336677533
Counselor - Addiction (Substance Use Disorder) in Westland, MI

Active since June 01, 2017
8623 N. WAYNE ROAD, SUITE 310, ADULT OUTPATIENT SERVICES FOR SMI, WESTLAND, MI 48185(734) 425-0636 Get Directions Write a Review

NPPES record last updated: June 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Brian Beathard NPPES

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

MARK BRIAN BEATHARD (NPI 1336677533) is an individual addiction (substance use disorder) provider in Westland, Michigan, licensed in Michigan (B363585098663) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1336677533
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMARK BRIAN BEATHARD
Location Address8623 N. WAYNE ROAD, SUITE 310, ADULT OUTPATIENT SERVICES FOR SMIWestland, MI 48185
Mailing AddressP. O. Box 79Lincoln Park, MI 48146 · (313) 454-7175
Phone(734) 425-0636
Sole ProprietorYes
Enumeration DateJune 1, 2017
✔ NPI 1336677533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MI · B363585098663
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
8623 N. WAYNE ROAD, SUITE 310, Westland, MI 48185
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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 Mark Beathard's NPI number?

The NPI number for Mark Beathard is 1336677533. It was assigned to this individual provider in the NPPES registry on June 1, 2017.

Where is Mark Beathard located?

Mark Beathard practices at 8623 N. Wayne Road, Suite 310 Adult Outpatient Services For Smi, Westland, MI 48185. The listed phone number is (734) 425-0636.

What is Mark Beathard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mark Beathard was last updated on June 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.