| Doctor Name: | MS. BEVERLY J. TRICKEY |
| NPI Number: | 1043282056 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C. |
| License Number: | P0304017 |
| Business Practice Address: | 600 Main St Suite V Hot Springs, AR - 719134905 |
| Business Phone Number: | 5013218200 |
| Business Fax Number: | 5013218202 |
| Mailing Address: | 600 Main St, Suite V HOT SPRINGS |
| State: | AR |
| Postal Code: | 719134905 |
| Phone Number: | 5013218200 |
| Fax Number: | 5013218202 |
| NPI Enumeration Date: | 02/03/2006 |
| NPI Last Update Date: | 10/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | P0304017 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |