Provider Demographics
NPI:1265395727
Name:BEEK, JADIN GAIL (LPC-A, CPS)
Entity type:Individual
Prefix:MRS
First Name:JADIN
Middle Name:GAIL
Last Name:BEEK
Suffix:
Gender:F
Credentials:LPC-A, CPS
Other - Prefix:MRS
Other - First Name:JADIN
Other - Middle Name:GAIL
Other - Last Name:GRAUERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC-A, CPS
Mailing Address - Street 1:300 HIPPS AVE
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-3816
Mailing Address - Country:US
Mailing Address - Phone:864-901-4839
Mailing Address - Fax:
Practice Address - Street 1:500 PETTIGRU ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-3117
Practice Address - Country:US
Practice Address - Phone:864-432-5561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10669101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty