Provider Demographics
NPI:1144478835
Name:BEGGS, BRENDAN (MS, LPC)
Entity type:Individual
Prefix:
First Name:BRENDAN
Middle Name:
Last Name:BEGGS
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 N. COUNTRY CLUB DR.
Mailing Address - Street 2:SUITE #6
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201
Mailing Address - Country:US
Mailing Address - Phone:480-854-0282
Mailing Address - Fax:480-429-1128
Practice Address - Street 1:1150 N COUNTRY CLUB DR
Practice Address - Street 2:SUITE #6
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-2537
Practice Address - Country:US
Practice Address - Phone:480-854-0282
Practice Address - Fax:480-429-1128
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-05
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLC 1621101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional