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General NPI Number Information
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NPI Number | 1174071526
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Entity Type | Organization
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Legal Business Name | BEVERLY J. TRICKEY LPC, LLC
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 100 RIDGEWAY ST STE 1
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City | HOT SPRINGS
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State | AR
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Zip | 71901-7155
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Country | US
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Telephone | 501-860-1114
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Fax | 501-623-2266
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Provider Business Mailing Address
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Address Line | 176 MAPLELEAF CIR
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City | HOT SPRINGS
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State | AR
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Zip | 71901-3300
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Country | US
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Telephone | 501-860-1114
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BEVERLY J TRICKEY
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Credential | LPC
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Telephone | 501-860-1114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | P0304017
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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