Provider Demographics
NPI:1396080628
Name:BECK, TRISHA L (LPCC-S)
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:L
Last Name:BECK
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2520 WALES AVE NW STE 100
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-2398
Mailing Address - Country:US
Mailing Address - Phone:234-262-1112
Mailing Address - Fax:330-837-2341
Practice Address - Street 1:2520 WALES AVE NW STE 100
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-2398
Practice Address - Country:US
Practice Address - Phone:234-262-1112
Practice Address - Fax:330-837-2341
Is Sole Proprietor?:No
Enumeration Date:2012-11-27
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0700417101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health