Provider Demographics
NPI:1811392285
Name:CEDARS COUNSELING INC
Entity Type:Organization
Organization Name:CEDARS COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ELYSSE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BEASLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, SRPE
Authorized Official - Phone:615-896-9160
Mailing Address - Street 1:319 W MCKNIGHT DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2450
Mailing Address - Country:US
Mailing Address - Phone:615-896-9160
Mailing Address - Fax:
Practice Address - Street 1:319 W MCKNIGHT DR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2450
Practice Address - Country:US
Practice Address - Phone:615-896-9160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-28
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty