Provider Demographics
NPI:1306560867
Name:BEERS, TIMOTHY (LPCMH)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:
Last Name:BEERS
Suffix:
Gender:M
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 HEALTH SERVICES DR
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-5786
Mailing Address - Country:US
Mailing Address - Phone:302-262-3505
Mailing Address - Fax:
Practice Address - Street 1:900 HEALTH SERVICES DR
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-5786
Practice Address - Country:US
Practice Address - Phone:302-262-3505
Practice Address - Fax:302-262-3507
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0011297101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health