Provider Demographics
NPI:1639903552
Name:MCCARROLL, BEATRICE SHAVON (MS, LMHP-R)
Entity type:Individual
Prefix:MS
First Name:BEATRICE
Middle Name:SHAVON
Last Name:MCCARROLL
Suffix:
Gender:F
Credentials:MS, LMHP-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4942 VALLEY CREST DR APT 201
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-2647
Mailing Address - Country:US
Mailing Address - Phone:804-503-4504
Mailing Address - Fax:
Practice Address - Street 1:4942 VALLEY CREST DR APT 201
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-2647
Practice Address - Country:US
Practice Address - Phone:804-503-4504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health