Provider Demographics
NPI:1124545108
Name:BEACH, MARICIA WOODS (LMFT)
Entity type:Individual
Prefix:MRS
First Name:MARICIA
Middle Name:WOODS
Last Name:BEACH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1820 MEMORIAL DR STE 101
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-4693
Mailing Address - Country:US
Mailing Address - Phone:931-444-3621
Mailing Address - Fax:931-342-5356
Practice Address - Street 1:1820 MEMORIAL DR STE 101
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-4693
Practice Address - Country:US
Practice Address - Phone:931-444-3621
Practice Address - Fax:931-342-5356
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-29
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health