Provider Demographics
NPI:1407241904
Name:TRENNEPOHL, BETH L (LPC)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:L
Last Name:TRENNEPOHL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 SUMMERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57703-4845
Mailing Address - Country:US
Mailing Address - Phone:308-629-7007
Mailing Address - Fax:
Practice Address - Street 1:511 SUMMERFIELD DR
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57703-4845
Practice Address - Country:US
Practice Address - Phone:308-629-7007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-01
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health