Provider Demographics
NPI:1295341444
Name:BEELEY, ALLISON MONICA (LMFT)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MONICA
Last Name:BEELEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 GRASSMERE AVE
Mailing Address - Street 2:
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-3324
Mailing Address - Country:US
Mailing Address - Phone:401-660-9384
Mailing Address - Fax:
Practice Address - Street 1:215 GRASSMERE AVE
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-3324
Practice Address - Country:US
Practice Address - Phone:401-660-9384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-22
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
RIMFT00289106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist