Provider Demographics
NPI:1952729097
Name:STEINHAUER, BEVERLY (RN, MS, LPC, CSAT)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:
Last Name:STEINHAUER
Suffix:
Gender:F
Credentials:RN, MS, LPC, CSAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8201 FORDHAM RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36619-4422
Mailing Address - Country:US
Mailing Address - Phone:251-776-1366
Mailing Address - Fax:
Practice Address - Street 1:29000 US HIGHWAY 98
Practice Address - Street 2:SUITE A305
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-7272
Practice Address - Country:US
Practice Address - Phone:251-626-5797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-05
Last Update Date:2014-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3206101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional