Provider Demographics
NPI:1982837506
Name:BEACHKOFSKY, ANGELA (PHD, LP, HSP-P)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:BEACHKOFSKY
Suffix:
Gender:F
Credentials:PHD, LP, HSP-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8201 WINGARD RD
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-9086
Mailing Address - Country:US
Mailing Address - Phone:980-285-8180
Mailing Address - Fax:
Practice Address - Street 1:8201 WINGARD RD
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-9086
Practice Address - Country:US
Practice Address - Phone:980-285-8180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2025-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4005103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling