Provider Demographics
NPI:1477787422
Name:BEELER, JOSHUA (NCC, LPC)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:
Last Name:BEELER
Suffix:
Gender:M
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 TAPOCO AVE
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37801-4632
Mailing Address - Country:US
Mailing Address - Phone:865-654-8306
Mailing Address - Fax:
Practice Address - Street 1:1325 TAPOCO AVE
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37801-4632
Practice Address - Country:US
Practice Address - Phone:865-654-8306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2487101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional