DOMINIQUE MARION BEAUVAIS NPI 1891274098

NPI Information

NPI: 1891274098
Provider Name: DOMINIQUE MARION BEAUVAIS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1260 MORENA BLVD STE 100
SAN DIEGO, CA
ZIP 92110
Phone: (619) 398-0355
Get Directions

Dominique Marion Beauvais is a mental health counselor in San Diego, CA. Dominique Marion Beauvais NPI is 1891274098. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1260 MORENA BLVD STE 100
SAN DIEGO, CA
ZIP 92110
Phone: (619) 398-0355

The enumeration date for this NPI number is 8/8/2018 and was last updated on 11/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000055266	OTHER	UTAH	MEDICARE PIN
2	260022408	OTHER	UTAH	RAILROAD MEDICARE
3	8760003008007	MEDICAID	UTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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