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Beaufort Addison III

Counselor, Mental Health in Lithonia, GA. Individual provider (NPI-1).

NPI number1205413481
StatusActive
Last updated in NPPESMar 25, 2021

Details

NPI
1205413481
Entity type
Individual (NPI-1)
Name
Mr. Beaufort Addison III
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 25, 2021
Certification date
Mar 25, 2021
Last updated
Mar 25, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

5576 Oak Bend Pl
Lithonia, GA 30058-3302

Phone 803-664-4007

Mailing address

5576 Oak Bend Pl
Lithonia, GA 30058-3302

Phone 803-664-4007

Other practice locations

1755 The Exchange Se Ste 330u
Atlanta, GA 30339-7434

Phone 678-273-3005

20 S 3rd St
Columbus, OH 43215-4206

Phone 614-726-1485 · Fax 866-416-1767

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Mental Health Counselor providers in Lithonia, GA

All 32 Mental Health Counselor providers in Lithonia · All 1,233 providers in Lithonia

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