Provider Demographics
NPI:1205367307
Name:BIRD, BETHANY JOY WHEELER (LPC, LMHC)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:JOY WHEELER
Last Name:BIRD
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:BETHANY
Other - Middle Name:JOY
Other - Last Name:WHEELER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1206 FOSTER RD
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-1515
Mailing Address - Country:US
Mailing Address - Phone:319-329-6051
Mailing Address - Fax:
Practice Address - Street 1:1206 FOSTER RD
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-1515
Practice Address - Country:US
Practice Address - Phone:319-329-6051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-21
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225A00000X
IA112561101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist