Healthcare Provider Details

I. General information

NPI: 1669388039
Provider Name (Legal Business Name): ARIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 LILY SCHOOL RD
LILY KY
40740-3018
US

IV. Provider business mailing address

445 CLINIC DR
MOREHEAD KY
40351-1077
US

V. Phone/Fax

Practice location:
  • Phone: 606-462-3001
  • Fax:
Mailing address:
  • Phone: 606-462-3001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH LOUISE STANTON
Title or Position: THERAPIST
Credential: LPCA
Phone: 606-309-0529