Provider Demographics
NPI:1902181472
Name:BEEDLE, PATRICIA ALLISON (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ALLISON
Last Name:BEEDLE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:ALLISON
Other - Last Name:KLEMMENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7261 MERCY RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2311
Mailing Address - Country:US
Mailing Address - Phone:402-398-6248
Mailing Address - Fax:402-829-8513
Practice Address - Street 1:801 HARMONY ST STE 302
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-3106
Practice Address - Country:US
Practice Address - Phone:712-328-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-17
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1013101YM0800X
IA001341101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health