Healthcare Provider Details

I. General information

NPI: 1780945519
Provider Name (Legal Business Name): ARIEL ELLEN SCHOOLSKY M.A., MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2012
Last Update Date: 06/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16600 SHERMAN WAY STE 165
VAN NUYS CA
91406-3733
US

IV. Provider business mailing address

1155 WELLESLEY AVE APT 101
LOS ANGELES CA
90049-5676
US

V. Phone/Fax

Practice location:
  • Phone: 818-386-1182
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC 43689
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: