Provider Demographics
NPI:1629492129
Name:STILES-BEECHEY, TAMARA (LMSW)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:
Last Name:STILES-BEECHEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:TAMARA
Other - Middle Name:
Other - Last Name:STILES-BEECHEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1163 S MAIN ST # 157
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MI
Mailing Address - Zip Code:48118-1408
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2532 WHEELER DR
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MI
Practice Address - Zip Code:48118-9224
Practice Address - Country:US
Practice Address - Phone:989-859-4472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-05
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010964081041C0700X
68010964081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical