Lynne Beardsley, LMHC
Counselor, Mental Health in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1962049809
StatusActive
Last updated in NPPESApr 29, 2023
Details
- NPI
- 1962049809
- Entity type
- Individual (NPI-1)
- Name
- Lynne Beardsley
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2019
- Certification date
- Apr 29, 2023
- Last updated
- Apr 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 39003670A | IN | Yes |
Practice location
2420 N Coliseum Blvd Ste 212Fort Wayne, IN 46805-3139
Phone 260-434-1606
Mailing address
6435 W Jefferson Blvd # 130Fort Wayne, IN 46804-6203
Phone 260-918-0088
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