Provider Demographics
NPI:1265859904
Name:BESCH, PEGGY (LMHC)
Entity Type:Individual
Prefix:
First Name:PEGGY
Middle Name:
Last Name:BESCH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 W FAIRFILED DRIVE
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501-1052
Mailing Address - Country:US
Mailing Address - Phone:850-288-0300
Mailing Address - Fax:877-304-6211
Practice Address - Street 1:1720 W FAIRFILED DRIVE
Practice Address - Street 2:SUITE 303
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-1052
Practice Address - Country:US
Practice Address - Phone:850-288-0300
Practice Address - Fax:877-304-6211
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-19
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MH9168101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health