Provider Demographics
NPI:1760404834
Name:SANTELLI, BEATRICE A (LMFT)
Entity Type:Individual
Prefix:
First Name:BEATRICE
Middle Name:A
Last Name:SANTELLI
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 1:7342 FIREFLY CT
Mailing Address - Street 2:
Mailing Address - City:HOSCHTON
Mailing Address - State:GA
Mailing Address - Zip Code:30548-4078
Mailing Address - Country:US
Mailing Address - Phone:770-785-2783
Mailing Address - Fax:770-965-7775
Practice Address - Street 1:5510 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLOWERY BRANCH
Practice Address - State:GA
Practice Address - Zip Code:30542-5686
Practice Address - Country:US
Practice Address - Phone:770-785-2783
Practice Address - Fax:770-965-7775
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALMFT000924106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist