Mix, Beverly

Mix, Beverly is an individual health care provider with primary practice located at 1841 Madora Ave , Douglas WY 82633-3057. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mix, Beverly can be contacted via phone (307) 358-2792.

Contact Information

Primary practice address
1841 Madora Ave Douglas WY 82633-3057
Phone: (307) 358-2792
Fax: (307) 258-5329
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LPC Wyoming
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC Wyoming

Profile Details

NPI number 1255583175
LBN Legal business name Mix, Beverly
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2008
Last updated Oct 22nd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers