Provider Demographics
NPI:1548283963
Name:RALSTON-BEIKE, AMY IRENE (LPC, MS)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:IRENE
Last Name:RALSTON-BEIKE
Suffix:
Gender:F
Credentials:LPC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CHANDLER UNITED SCHOOL DISTRICT/HILL LEARNING ACADEMY
Mailing Address - Street 2:290 S. COOPER RD
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225
Mailing Address - Country:US
Mailing Address - Phone:480-812-7166
Mailing Address - Fax:602-372-4800
Practice Address - Street 1:3125 W DURANGO ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85009-6217
Practice Address - Country:US
Practice Address - Phone:602-506-0447
Practice Address - Fax:602-372-4800
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5089-T101YP2500X
AZLPC13118101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional