Healthcare Provider Details

I. General information

NPI: 1396640694
Provider Name (Legal Business Name): CATHERINE BEACH LAMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3240 E UNION HILLS DR STE 107
PHOENIX AZ
85050-2618
US

IV. Provider business mailing address

3240 E UNION HILLS DR STE 107
PHOENIX AZ
85050-2618
US

V. Phone/Fax

Practice location:
  • Phone: 480-650-2436
  • Fax:
Mailing address:
  • Phone: 480-650-2436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number152592
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number11005
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: