Provider Demographics
NPI:1346138567
Name:BEASLEY, BYANCA MAELEA (LMSW)
Entity type:Individual
Prefix:MS
First Name:BYANCA
Middle Name:MAELEA
Last Name:BEASLEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:BYANCA
Other - Middle Name:MAELEA
Other - Last Name:HIGHTOWER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2351 PEARL MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-7919
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12461 VETERANS MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-2025
Practice Address - Country:US
Practice Address - Phone:678-679-0401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker