MR. BEAUFORT ADDISON NPI 1205413481

NPI Information

  • NPI: 1205413481
  • Provider Name: MR. BEAUFORT ADDISON
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 5576 OAK BEND PL
    LITHONIA, GA
    ZIP 30058
  • Phone: (803) 664-4007

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NPI Details

MR. Beaufort Addison is a mental health counselor in Lithonia, GA. MR. Beaufort Addison NPI is 1205413481. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5576 OAK BEND PL
LITHONIA, GA
ZIP 30058-302
Phone: (803) 664-4007

The enumeration date for this NPI number is 3/25/2021 and was last updated on 3/25/2021.

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
1101YM0800XCounselorMental HealthYes

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: 3/30/2025

NPI Synchronization or Removal

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