Healthcare Provider Details

I. General information

NPI: 1487508461
Provider Name (Legal Business Name): ARIELLE HASTINGS MA, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ARIELLE RAE VAUGHAN HASTINGS

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 4TH ST
DAVIS CA
95616-4125
US

IV. Provider business mailing address

510 4TH ST
DAVIS CA
95616-4125
US

V. Phone/Fax

Practice location:
  • Phone: 510-962-1171
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number157220
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: