Provider Demographics
NPI:1952549537
Name:BEARD, GAIL (CAC II, CCS)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:
Last Name:BEARD
Suffix:
Gender:F
Credentials:CAC II, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 PEACHTREE PKWY
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-9503
Mailing Address - Country:US
Mailing Address - Phone:678-947-6550
Mailing Address - Fax:888-877-6550
Practice Address - Street 1:1300 PEACHTREE PKWY
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-9503
Practice Address - Country:US
Practice Address - Phone:678-947-6550
Practice Address - Fax:888-877-6550
Is Sole Proprietor?:No
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)