Provider Demographics
NPI:1043106321
Name:BEADLES, CHRISTIAN (MA)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:BEADLES
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 LEWIS LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:TN
Mailing Address - Zip Code:37036-2005
Mailing Address - Country:US
Mailing Address - Phone:404-725-0265
Mailing Address - Fax:
Practice Address - Street 1:528 LEWIS LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:TN
Practice Address - Zip Code:37036-2005
Practice Address - Country:US
Practice Address - Phone:404-725-0265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health