Provider Demographics
NPI:1225807225
Name:BEAMAN, KELSEY ERIN (MS, LPC)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:ERIN
Last Name:BEAMAN
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:ERIN
Other - Last Name:LENIHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3707 REMINGTON DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-2840
Mailing Address - Country:US
Mailing Address - Phone:505-501-0402
Mailing Address - Fax:
Practice Address - Street 1:2007 N COLLINS BLVD STE 301
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2666
Practice Address - Country:US
Practice Address - Phone:972-729-9462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-01
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84624101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional