Provider Demographics
NPI:1982368486
Name:BEAM, ARIEL MICHELLE
Entity Type:Individual
Prefix:MRS
First Name:ARIEL
Middle Name:MICHELLE
Last Name:BEAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 PIEDMONT AVE
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35214-4134
Mailing Address - Country:US
Mailing Address - Phone:831-718-7755
Mailing Address - Fax:
Practice Address - Street 1:800 LAKESHORE DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35229-3153
Practice Address - Country:US
Practice Address - Phone:205-726-4298
Practice Address - Fax:205-726-4590
Is Sole Proprietor?:No
Enumeration Date:2021-10-29
Last Update Date:2022-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer