Healthcare Provider Details

I. General information

NPI: 1740858141
Provider Name (Legal Business Name): ARIELLA RACHEL BENJI-BEYZER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ARIELLA RACHEL BEYZER LMFT

II. Dates (important events)

Enumeration Date: 06/14/2021
Last Update Date: 06/14/2021
Certification Date: 06/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 MARKET ST FL 15
SAN FRANCISCO CA
94105-3316
US

IV. Provider business mailing address

625 MARKET ST FL 15
SAN FRANCISCO CA
94105-3316
US

V. Phone/Fax

Practice location:
  • Phone: 415-360-3833
  • Fax:
Mailing address:
  • Phone: 415-360-3833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number124070
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: