Provider Demographics
NPI:1609393941
Name:BEARD, HOPE SHANELL (LPC)
Entity Type:Individual
Prefix:MS
First Name:HOPE
Middle Name:SHANELL
Last Name:BEARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:296 SUNRISE DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:GA
Mailing Address - Zip Code:30817-4249
Mailing Address - Country:US
Mailing Address - Phone:706-990-0595
Mailing Address - Fax:
Practice Address - Street 1:296 SUNRISE DR
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:GA
Practice Address - Zip Code:30817-4249
Practice Address - Country:US
Practice Address - Phone:706-990-0595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009686101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA82-1710331Medicaid