Healthcare Provider Details

I. General information

NPI: 1932030095
Provider Name (Legal Business Name): PATRICIA ROSE BEARD BHSH,SC CADC, MMHCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6055 N BRAWLEY AVE APT 261
FRESNO CA
93722-9043
US

IV. Provider business mailing address

6055 N BRAWLEY AVE APT 261
FRESNO CA
93722-9043
US

V. Phone/Fax

Practice location:
  • Phone: 559-492-6002
  • Fax:
Mailing address:
  • Phone: 559-492-6002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: