Provider Demographics
NPI:1982403457
Name:BEALE, DONYEL A
Entity type:Individual
Prefix:
First Name:DONYEL
Middle Name:A
Last Name:BEALE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 E MAIN ST STE 112
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-7324
Mailing Address - Country:US
Mailing Address - Phone:302-294-6250
Mailing Address - Fax:302-294-6457
Practice Address - Street 1:280 E MAIN ST STE 112
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-7324
Practice Address - Country:US
Practice Address - Phone:302-294-6250
Practice Address - Fax:302-294-6457
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral