Provider Demographics
NPI:1124564232
Name:BEAUSOLEIL, NEENA KONADU (MSW)
Entity Type:Individual
Prefix:
First Name:NEENA
Middle Name:KONADU
Last Name:BEAUSOLEIL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 PEACHTREE BATTLE AVE NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-1317
Mailing Address - Country:US
Mailing Address - Phone:323-620-6322
Mailing Address - Fax:
Practice Address - Street 1:1075 PEACHTREE BATTLE AVE NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-1317
Practice Address - Country:US
Practice Address - Phone:323-620-6322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-12
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker