Healthcare Provider Details

I. General information

NPI: 1417447111
Provider Name (Legal Business Name): ARIN WESTPHELING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2018
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 PASEO REYES DR
ST AUGUSTINE FL
32095-8464
US

IV. Provider business mailing address

340 PASEO REYES DR
SAINT AUGUSTINE FL
32095-8464
US

V. Phone/Fax

Practice location:
  • Phone: 904-452-4385
  • Fax:
Mailing address:
  • Phone: 904-495-8472
  • 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: