Provider Demographics
NPI:1942976667
Name:THE BEATTEY GROUP, PLLC
Entity Type:Organization
Organization Name:THE BEATTEY GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BEATTEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:800-499-7105
Mailing Address - Street 1:PO BOX 22351
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-0351
Mailing Address - Country:US
Mailing Address - Phone:800-499-7105
Mailing Address - Fax:206-333-0603
Practice Address - Street 1:12844 MILITARY RD S
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98168-3045
Practice Address - Country:US
Practice Address - Phone:800-499-7105
Practice Address - Fax:206-333-0603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-22
Last Update Date:2021-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health