Healthcare Provider Details

I. General information

NPI: 1285599316
Provider Name (Legal Business Name): ARIEL BECKLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16803 IMPERIAL VALLEY DR APT 8
HOUSTON TX
77060-3181
US

IV. Provider business mailing address

16803 IMPERIAL VALLEY DR APT 8
HOUSTON TX
77060-3181
US

V. Phone/Fax

Practice location:
  • Phone: 785-307-2872
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number17340
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: