Healthcare Provider Details

I. General information

NPI: 1932863032
Provider Name (Legal Business Name): ARIEL M PARRY MA, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2021
Last Update Date: 07/02/2024
Certification Date: 07/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 W 50TH ST STE 250B
MINNEAPOLIS MN
55410-2070
US

IV. Provider business mailing address

1155 NORTHLAND DR
MENDOTA HEIGHTS MN
55120-1288
US

V. Phone/Fax

Practice location:
  • Phone: 612-439-9333
  • Fax:
Mailing address:
  • Phone: 612-223-8898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: