Provider Demographics
NPI:1356552897
Name:BEASLEY, RAMONA DENSIE (MFT, LCADC)
Entity type:Individual
Prefix:MRS
First Name:RAMONA
Middle Name:DENSIE
Last Name:BEASLEY
Suffix:
Gender:F
Credentials:MFT, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3514 E TROPICANA AVE STE 2C
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-7351
Mailing Address - Country:US
Mailing Address - Phone:702-605-2766
Mailing Address - Fax:702-938-9056
Practice Address - Street 1:3514 E TROPICANA AVE STE 2C
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-7351
Practice Address - Country:US
Practice Address - Phone:702-605-2766
Practice Address - Fax:702-938-9056
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV00178-LC101YA0400X
NV00164-S101YA0400X
NVMF01099106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)