Individual provider · Type 1 NPI
Penny Lynn Bearheart, LPC, SAC
Mental Health Counselor · St. Croix Falls, WI
NPI number
1881171601
Active
Practice location
235 E State St
St. Croix Falls, WI 54024-4117
Fax (715) 483-0507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16393-131 (WI) |
| Mental Health Counselor Primary | 101YM0800X | 8520-125 (WI) |
Mental Health Counselor: Definition to come...
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About NPI 1881171601
Penny Lynn Bearheart, LPC, SAC's National Provider Identifier is 1881171601, issued on Jul 24, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Croix Falls, WI. The record was last updated on May 5, 2025.