Provider Demographics
NPI:1316197635
Name:BEILMAN, LISA MARIE (MA, NCC, LMHC)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:MARIE
Last Name:BEILMAN
Suffix:
Gender:F
Credentials:MA, NCC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4851 S APOPKA VINELAND RD
Mailing Address - Street 2:BLDG A SUITE # 111 (COMMUNITY COUNSELING CENTER)
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-3128
Mailing Address - Country:US
Mailing Address - Phone:407-340-5312
Mailing Address - Fax:
Practice Address - Street 1:4851 S APOPKA VINELAND RD
Practice Address - Street 2:BLDG A SUITE # 111 (COMMUNITY COUNSELING CENTER)
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-3128
Practice Address - Country:US
Practice Address - Phone:407-340-5312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9460101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health