Provider Demographics
NPI:1114687654
Name:WARD, BEVERLY (LPC)
Entity type:Individual
Prefix:MRS
First Name:BEVERLY
Middle Name:
Last Name:WARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 OFFICE PARK DR STE 230
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-3410
Mailing Address - Country:US
Mailing Address - Phone:205-825-1423
Mailing Address - Fax:205-533-9960
Practice Address - Street 1:400 OFFICE PARK DR STE 230
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-3410
Practice Address - Country:US
Practice Address - Phone:205-825-1423
Practice Address - Fax:205-533-9960
Is Sole Proprietor?:No
Enumeration Date:2021-12-25
Last Update Date:2024-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1830101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional