Healthcare Provider Details

I. General information

NPI: 1891427274
Provider Name (Legal Business Name): ARIELLE MILLS LAMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2022
Last Update Date: 06/25/2022
Certification Date: 06/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9014 S CENTRAL AVE
PHOENIX AZ
85042-8304
US

IV. Provider business mailing address

3101 N CENTRAL AVE STE 500
PHOENIX AZ
85012-2639
US

V. Phone/Fax

Practice location:
  • Phone: 602-230-7373
  • Fax: 602-441-5836
Mailing address:
  • Phone: 602-230-7373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLAMFT-10651
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: