MEDICARE: KRISTY LOU BEECO AMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	LAMFT-08139T	AZ

General Provider Information

NPI Number	:	1528919354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTY LOU BEECO AMFT

Provider Business Mailing Address
First Line	:	10430 E ACOMA DR
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-1711
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10430 E ACOMA DR
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-1711
Country	:	US
Telephone Number	:	224-619-9363
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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