Provider Demographics
NPI:1174889984
Name:BEECH, DANA ANN (LMSW)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:ANN
Last Name:BEECH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 SWARTZ CT
Mailing Address - Street 2:
Mailing Address - City:IONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48846-2157
Mailing Address - Country:US
Mailing Address - Phone:616-523-6537
Mailing Address - Fax:
Practice Address - Street 1:441 SWARTZ CT
Practice Address - Street 2:
Practice Address - City:IONIA
Practice Address - State:MI
Practice Address - Zip Code:48846-2157
Practice Address - Country:US
Practice Address - Phone:616-523-6537
Practice Address - Fax:616-523-6536
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-05
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010859301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical