MEDICARE: BEVERLY VANDYKE LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	C.2406050	OH

General Provider Information

NPI Number	:	1922949247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEVERLY VANDYKE LPC

Provider Business Mailing Address
First Line	:	PO BOX 3702
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44513-3702
Country	:	US
Telephone Number	:	330-798-0491
Fax Number	:	330-303-4948

Provider Business Practice Location Address
First Line	:	1207 W STATE ST STE H
Second Line	:
City	:	ALLIANCE
State	:	OH
Zip	:	44601-4686
Country	:	US
Telephone Number	:	330-798-0491
Fax Number	:	330-303-4948

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2026
Last Update Date	:	04/02/2026

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Directions to “ BEVERLY VANDYKE LPC” Practice Location

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