Healthcare Provider Details

I. General information

NPI: 1851849202
Provider Name (Legal Business Name): ARLIN VILLARI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2016
Last Update Date: 02/26/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 SE OCEAN BLVD STE 340
STUART FL
34994-3502
US

IV. Provider business mailing address

900 SE OCEAN BLVD STE 340
STUART FL
34994-3502
US

V. Phone/Fax

Practice location:
  • Phone: 772-220-3439
  • Fax:
Mailing address:
  • Phone: 772-220-3439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH17107
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: