Provider Demographics
NPI:1225872351
Name:BEYER, JENNIFER JANE (TLMHC)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:JANE
Last Name:BEYER
Suffix:
Gender:F
Credentials:TLMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3737 WOODLAND AVE STE 410
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-1937
Mailing Address - Country:US
Mailing Address - Phone:515-267-1340
Mailing Address - Fax:515-267-1355
Practice Address - Street 1:3737 WOODLAND AVE STE 410
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1937
Practice Address - Country:US
Practice Address - Phone:515-267-1340
Practice Address - Fax:515-267-1355
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA125875101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health