Provider Demographics
NPI:1831605823
Name:RUBIN, AMY L (LPC, LISAC, MAC)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:L
Last Name:RUBIN
Suffix:
Gender:F
Credentials:LPC, LISAC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 N SCOTTSDALE RD APT 5062
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6586
Mailing Address - Country:US
Mailing Address - Phone:602-344-9941
Mailing Address - Fax:
Practice Address - Street 1:6619 N SCOTTSDALE RD STE 1
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-4421
Practice Address - Country:US
Practice Address - Phone:602-344-9941
Practice Address - Fax:480-933-0041
Is Sole Proprietor?:No
Enumeration Date:2017-12-28
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ15201101Y00000X
AZ15167101YA0400X
AZ13314101YA0400X
AZ19034101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)