Provider Demographics
NPI:1841406881
Name:BEENKEN, SIDNEY STARLING (LMFT, LPC)
Entity type:Individual
Prefix:MRS
First Name:SIDNEY
Middle Name:STARLING
Last Name:BEENKEN
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:MRS
Other - First Name:SIDNEY
Other - Middle Name:
Other - Last Name:STARLING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT, LPC
Mailing Address - Street 1:PO BOX 1426
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-1426
Mailing Address - Country:US
Mailing Address - Phone:214-532-3568
Mailing Address - Fax:
Practice Address - Street 1:300 LYNCH ST
Practice Address - Street 2:
Practice Address - City:SMITHVILLE
Practice Address - State:TX
Practice Address - Zip Code:78957-2514
Practice Address - Country:US
Practice Address - Phone:214-532-3568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX842106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist