Healthcare Provider Details

I. General information

NPI: 1912811167
Provider Name (Legal Business Name): AMY BEAL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 CAVALIER BLVD STE 313
FLORENCE KY
41042-5183
US

IV. Provider business mailing address

5172 DICKSON RD
CEDAR GROVE IN
47016-9777
US

V. Phone/Fax

Practice location:
  • Phone: 513-266-8344
  • Fax:
Mailing address:
  • Phone: 513-266-8344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2405967
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number292261
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: