| Beverly J. Trickey Lpc | |
|
176 Mapleleaf Cir Hot Springs AR 71901-3300 | |
| (501) 860-1114 | |
| Not Available |
| Full Name | Beverly J. Trickey Lpc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 176 Mapleleaf Cir, Hot Springs, Arkansas |
| Authorized Official Name and Position | Beverly J Trickey (OWNER) |
| Authorized Official Contact | 5018601114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly J. Trickey Lpc 176 Mapleleaf Cir Hot Springs AR 71901-3300 Ph: (501) 860-1114 | Beverly J. Trickey Lpc 176 Mapleleaf Cir Hot Springs AR 71901-3300 Ph: (501) 860-1114 |
| NPI Number | 1174071526 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 09/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174071526 | NPI | - | NPPES |
| 5X382 | Other | AR | ARKANSAS BLUECROSS BLUESHIELD |
| 173117795 | Medicaid | AR | |
| 1043282056 | Other | AR | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | P0304017 (Arkansas) | Primary |
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