Provider Demographics
NPI:1407024565
Name:SCRIVEN, BEATRICE LATISHA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:BEATRICE
Middle Name:LATISHA
Last Name:SCRIVEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BEATRICE
Other - Middle Name:LATISHA
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LGSW
Mailing Address - Street 1:1720 MARS HILL RD NW STE 124-309
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-7127
Mailing Address - Country:US
Mailing Address - Phone:704-502-7950
Mailing Address - Fax:704-502-7950
Practice Address - Street 1:4040 HOSPITAL WEST DR
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-8117
Practice Address - Country:US
Practice Address - Phone:770-732-6710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0092671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical