Provider Demographics
NPI:1871070631
Name:BEEMAN, SYDNEY YVONNE (LPC)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:YVONNE
Last Name:BEEMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3711 E 63RD ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44105-1213
Mailing Address - Country:US
Mailing Address - Phone:216-386-9155
Mailing Address - Fax:
Practice Address - Street 1:3711 E 63RD ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44105-1213
Practice Address - Country:US
Practice Address - Phone:216-386-9155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-25
Last Update Date:2021-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2103690101Y00000X
OHC.1901910-TRNE390200000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator