Jacqueline Beavers, LMSW

NPI 1558718502 · on the registry since 2016 · sole proprietor

Practice

Address: 89 E Edsel Ford Fwy Ste 200
Detroit, MI 48202
Phone: (586) 339-2660
Fax: (734) 207-5326
Organisation at this address: Middle Way Psychology
Resilient Life Therapeutic Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-11-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan