Provider Demographics
NPI:1851469522
Name:BEARDSLEY, BARBARA H (LCMHC LADC)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:H
Last Name:BEARDSLEY
Suffix:
Gender:F
Credentials:LCMHC LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 VILLAGE GREEN RD
Mailing Address - Street 2:STE B3
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03841-5209
Mailing Address - Country:US
Mailing Address - Phone:603-382-4741
Mailing Address - Fax:603-329-6421
Practice Address - Street 1:16 DUDLEY
Practice Address - Street 2:DUDLEY HOMESTEAD
Practice Address - City:RAYMOND
Practice Address - State:NH
Practice Address - Zip Code:03077
Practice Address - Country:US
Practice Address - Phone:603-674-5331
Practice Address - Fax:603-895-4773
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0561101YA0400X
NH515101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)