Provider Demographics
NPI:1336429240
Name:ZIMMERMAN, BEVERLY MCBEE (MED LPC)
Entity Type:Individual
Prefix:MRS
First Name:BEVERLY
Middle Name:MCBEE
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:MED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1073 JOHNNIE DODDS BLVD
Mailing Address - Street 2:B
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3155
Mailing Address - Country:US
Mailing Address - Phone:843-856-6998
Mailing Address - Fax:843-856-6997
Practice Address - Street 1:1073 JOHNNIE DODDS BLVD
Practice Address - Street 2:B
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3155
Practice Address - Country:US
Practice Address - Phone:843-856-6998
Practice Address - Fax:843-856-6997
Is Sole Proprietor?:No
Enumeration Date:2011-08-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3365101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional