Healthcare Provider Details

I. General information

NPI: 1073307716
Provider Name (Legal Business Name): ARIEL HAYAT APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 SAN MARLO WAY STE 4
PACIFICA CA
94044-3274
US

IV. Provider business mailing address

241 SHELTER COVE DR
HALF MOON BAY CA
94019-4228
US

V. Phone/Fax

Practice location:
  • Phone: 650-402-0333
  • Fax:
Mailing address:
  • Phone: 310-570-6520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number17477
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: