Provider Demographics
NPI:1053903732
Name:MARIAM BESHARA LPC., PSYD
Entity type:Organization
Organization Name:MARIAM BESHARA LPC., PSYD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BESHARA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, PSYD
Authorized Official - Phone:561-386-7939
Mailing Address - Street 1:2645 STARWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BCH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-5146
Mailing Address - Country:US
Mailing Address - Phone:561-386-7939
Mailing Address - Fax:
Practice Address - Street 1:2645 STARWOOD CIR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-5146
Practice Address - Country:US
Practice Address - Phone:561-406-4318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-04
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty