Healthcare Provider Details

I. General information

NPI: 1174071526
Provider Name (Legal Business Name): BEVERLY J. TRICKEY LPC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2016
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 RIDGEWAY ST STE 1
HOT SPRINGS AR
71901-7155
US

IV. Provider business mailing address

176 MAPLELEAF CIR
HOT SPRINGS AR
71901-3300
US

V. Phone/Fax

Practice location:
  • Phone: 501-860-1114
  • Fax: 501-623-2266
Mailing address:
  • Phone: 501-860-1114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberP0304017
License Number StateAR

VIII. Authorized Official

Name: BEVERLY J TRICKEY
Title or Position: OWNER
Credential: LPC
Phone: 501-860-1114