Individual provider · NPI-1

Melissia Elaine Beckham, LCSW

Social Worker, Clinical · Killeen, TX

NPI number1245470277
StatusActive
Last updated in NPPESDec 20, 2017

Details

NPI
1245470277
Entity type
Individual (NPI-1)
Name
Melissia Elaine Beckham
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 4, 2009
Last updated
Dec 20, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical34547TXYes
104100000X Social Worker34547TX
251B00000X Case Management34547TX

Practice location

2201 S W S Young Dr Ste 117a1
Killeen, TX 76543-5338

Phone 254-415-7989 · Fax 254-699-7309

Mailing address

Po Box 10757
Killeen, TX 76547-0757

Phone 254-415-7989 · Fax 254-699-7309

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