Provider Demographics
NPI:1326159302
Name:BEGLEY, ELLEN DIMMOCK (LCMHC, NCC, RN)
Entity Type:Individual
Prefix:MRS
First Name:ELLEN
Middle Name:DIMMOCK
Last Name:BEGLEY
Suffix:
Gender:F
Credentials:LCMHC, NCC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865B BLUE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-9773
Mailing Address - Country:US
Mailing Address - Phone:828-669-9798
Mailing Address - Fax:
Practice Address - Street 1:865B BLUE RIDGE RD
Practice Address - Street 2:
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-9773
Practice Address - Country:US
Practice Address - Phone:828-669-9798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3166101Y00000X, 101YM0800X, 101YP2500X
NC88474163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No163W00000XNursing Service ProvidersRegistered Nurse