Provider Demographics
NPI:1932470598
Name:THOMAS G. BELEY, PHD, LCSW & ASSOCIATES, PA
Entity Type:Organization
Organization Name:THOMAS G. BELEY, PHD, LCSW & ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:BELEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW
Authorized Official - Phone:954-749-3444
Mailing Address - Street 1:6800 W COMMERCIAL BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-2149
Mailing Address - Country:US
Mailing Address - Phone:954-749-3444
Mailing Address - Fax:954-749-4954
Practice Address - Street 1:6800 W COMMERCIAL BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-2149
Practice Address - Country:US
Practice Address - Phone:954-749-3444
Practice Address - Fax:954-749-4954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-13
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 00004511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty