Provider Demographics
NPI:1073931432
Name:KINSEY, BEATA (LCPC)
Entity Type:Individual
Prefix:
First Name:BEATA
Middle Name:
Last Name:KINSEY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1742 TEMI DR
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-3382
Mailing Address - Country:US
Mailing Address - Phone:301-219-2159
Mailing Address - Fax:
Practice Address - Street 1:1742 TEMI DR
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20601-3382
Practice Address - Country:US
Practice Address - Phone:301-219-2159
Practice Address - Fax:301-567-7900
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-02
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC5627101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional