Provider Demographics
NPI:1821171422
Name:TRIMBLE, PATRICIA ANN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:TRIMBLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:ANN
Other - Last Name:BEIGHLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3066
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79116-3066
Mailing Address - Country:US
Mailing Address - Phone:806-376-4030
Mailing Address - Fax:806-376-4424
Practice Address - Street 1:1721 S TYLER
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79102
Practice Address - Country:US
Practice Address - Phone:806-376-4030
Practice Address - Fax:806-376-4424
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11731101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional