Provider Demographics
NPI:1184125403
Name:BECK, BARBARA (LPC)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:BECK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:SUSAN
Other - Last Name:BECK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:
Mailing Address - City:CHINO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86323-0116
Mailing Address - Country:US
Mailing Address - Phone:928-499-1481
Mailing Address - Fax:
Practice Address - Street 1:7600 E FLORENTINE RD
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-1295
Practice Address - Country:US
Practice Address - Phone:602-257-9339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-22
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-10647101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional