Provider Demographics
NPI:1861825291
Name:BEESON, SPENCER EDWARD (LPC, LAC)
Entity type:Individual
Prefix:
First Name:SPENCER
Middle Name:EDWARD
Last Name:BEESON
Suffix:
Gender:M
Credentials:LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 POINTE CIR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-3506
Mailing Address - Country:US
Mailing Address - Phone:864-655-5193
Mailing Address - Fax:864-655-8183
Practice Address - Street 1:30 POINTE CIR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-3506
Practice Address - Country:US
Practice Address - Phone:864-655-5193
Practice Address - Fax:864-655-8183
Is Sole Proprietor?:No
Enumeration Date:2013-08-21
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6389101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health