Provider Demographics
NPI:1275956906
Name:BEAUSEJOUR, KATHY WILLIAMS (LMHC)
Entity type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:WILLIAMS
Last Name:BEAUSEJOUR
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 N FALKENBURG RD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-7884
Mailing Address - Country:US
Mailing Address - Phone:727-281-6458
Mailing Address - Fax:
Practice Address - Street 1:9133 CANOPY OAK LN APT 102
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-4714
Practice Address - Country:US
Practice Address - Phone:727-281-6458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-31
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL23316101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health