Provider Demographics
NPI:1952405078
Name:BEYER, BERNADETTE HELEN (LLP LMFT)
Entity Type:Individual
Prefix:MS
First Name:BERNADETTE
Middle Name:HELEN
Last Name:BEYER
Suffix:
Gender:F
Credentials:LLP LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2026 SAMANTHA JOY LN
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-5626
Mailing Address - Country:US
Mailing Address - Phone:231-330-6446
Mailing Address - Fax:
Practice Address - Street 1:2026 SAMANTHA JOY LN
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60490-5626
Practice Address - Country:US
Practice Address - Phone:231-330-6446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166001318106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist