Provider Demographics
NPI:1215653191
Name:BEECH TREE COUNSELING LLC
Entity type:Organization
Organization Name:BEECH TREE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/BEHAVIORAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:GOEMAAT-SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LCSW-C
Authorized Official - Phone:302-468-9765
Mailing Address - Street 1:154 AINTREE LN
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-1811
Mailing Address - Country:US
Mailing Address - Phone:302-468-9765
Mailing Address - Fax:
Practice Address - Street 1:154 AINTREE LN
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-1811
Practice Address - Country:US
Practice Address - Phone:302-468-9765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty