Provider Demographics
NPI:1285383745
Name:BEILER, ALLISON KATHLEEN (LMSW)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:KATHLEEN
Last Name:BEILER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3370 LOCUST LN
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MI
Mailing Address - Zip Code:49085-3715
Mailing Address - Country:US
Mailing Address - Phone:989-859-9882
Mailing Address - Fax:
Practice Address - Street 1:3370 LOCUST LN
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-3715
Practice Address - Country:US
Practice Address - Phone:989-859-9882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010932181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical