BEVERLY GAY ANDERSON LPCC, LADC - NPI 1346975364

Q: What is Beverly Anderson's NPI number?

The NPI number for Beverly Anderson is 1346975364. It was assigned to this individual provider in the NPPES registry on July 22, 2022.

Q: What is Beverly Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Beverly Anderson was last updated on July 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Beverly Gay Anderson Lpcc, Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY GAY ANDERSON LPCC, LADC (NPI 1346975364) is an individual mental health provider in White Earth, Minnesota, licensed in Minnesota (CC03438) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1346975364

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameBEVERLY GAY ANDERSONCredential: LPCC, LADC

Location Address26246 CRANE RDWhite Earth, MN 56591-9998

Mailing Address22273 Peterson LnDetroit Lakes, MN 56501-7072 · (701) 306-0315

Phone(218) 983-6325

Fax(218) 983-3289

Sole ProprietorNo

Enumeration DateJuly 22, 2022

NPPES CertifiedJuly 21, 2022

✔ NPI 1346975364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MN · CC03438

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 303965 (MN)

26246 CRANE RD, White Earth, MN 56591

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WHITE EARTH BAND OF CHIPPEWA

Ambulance (Land Transport)