Provider Demographics
NPI:1780861401
Name:BEALS, DARCY A (LMHC)
Entity Type:Individual
Prefix:
First Name:DARCY
Middle Name:A
Last Name:BEALS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 MAIN STREET EXT
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-8302
Mailing Address - Country:US
Mailing Address - Phone:508-830-0012
Mailing Address - Fax:508-830-0092
Practice Address - Street 1:34 MAIN STREET EXT
Practice Address - Street 2:SUITE 103
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-8302
Practice Address - Country:US
Practice Address - Phone:508-830-0012
Practice Address - Fax:508-830-0092
Is Sole Proprietor?:No
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6410101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health