Provider Demographics
NPI:1508119249
Name:BIANG, AMY (PHD, LPC, NCC, CEDS)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:
Last Name:BIANG
Suffix:
Gender:F
Credentials:PHD, LPC, NCC, CEDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24100 N 19TH AVE # 17-1114
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-1897
Mailing Address - Country:US
Mailing Address - Phone:520-331-3796
Mailing Address - Fax:704-548-5292
Practice Address - Street 1:16620 N 40TH ST UNIT F2
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-3348
Practice Address - Country:US
Practice Address - Phone:623-242-8460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-18
Last Update Date:2023-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-22087101YM0800X
NC9601101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health