Provider Demographics
NPI:1043282056
Name:TRICKEY, BEVERLY J (LPC LLC)
Entity Type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:J
Last Name:TRICKEY
Suffix:
Gender:F
Credentials:LPC LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:176 MAPLELEAF CIR
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS NATIONAL PARK
Mailing Address - State:AR
Mailing Address - Zip Code:71901-3300
Mailing Address - Country:US
Mailing Address - Phone:501-860-1114
Mailing Address - Fax:501-623-2266
Practice Address - Street 1:100 RIDGEWAY ST STE 1
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-7155
Practice Address - Country:US
Practice Address - Phone:501-860-1114
Practice Address - Fax:501-623-2266
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPO304017101YP2500X
ARP0304017101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR2159310OtherCIGNA BEHAVIORAL HEALTH
AR946145OtherUSA MANAGED CARE
AR220694OtherCOMPSYCH
AR60054OtherAETNA
ARMIS 773923000OtherMAGELLAN
AR5X382OtherBLUE CROSS & BLUE SHIELD
AR3070018900OtherQUAL-CHOICE
AR71-0401764OtherCORPHEALTH
AR710401764TRIOtherUNITY MANAGED M.H. CO.
AR297605OtherMHN NETWORK
AR431-21-6196OtherTRICARE
ARMIS 773923000OtherMAGELLAN
AR710401764TRIOtherUNITY MANAGED M.H. CO.