Healthcare Provider Details

I. General information

NPI: 1285570507
Provider Name (Legal Business Name): ARIANA N CHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4445 W 16TH AVE STE 405
HIALEAH FL
33012-7803
US

IV. Provider business mailing address

8680 NW 3RD LN APT 7
MIAMI FL
33126-6823
US

V. Phone/Fax

Practice location:
  • Phone: 786-233-6721
  • Fax:
Mailing address:
  • Phone: 786-395-1455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: