Provider Demographics
NPI:1699361428
Name:BEEBE, KATIE MORAITAKIS (LCSW)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:MORAITAKIS
Last Name:BEEBE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:557 HAMMOND RD SE
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30701-4196
Mailing Address - Country:US
Mailing Address - Phone:678-956-2678
Mailing Address - Fax:
Practice Address - Street 1:901 CHESTER ST
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30721-2550
Practice Address - Country:US
Practice Address - Phone:706-272-2843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-16
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW008011104100000X
GACSW0076741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker