Provider Demographics
NPI:1649742008
Name:BECKFORD, FITKEESHA (LMFT)
Entity Type:Individual
Prefix:
First Name:FITKEESHA
Middle Name:
Last Name:BECKFORD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 STEWART PKWY UNIT 5732
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30154-1109
Mailing Address - Country:US
Mailing Address - Phone:404-654-0461
Mailing Address - Fax:678-261-1611
Practice Address - Street 1:127 ENTERPRISE PASS SUITE 402
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141
Practice Address - Country:US
Practice Address - Phone:404-654-0461
Practice Address - Fax:678-261-1611
Is Sole Proprietor?:No
Enumeration Date:2018-12-26
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health