Healthcare Provider Details
I. General information
NPI: 1699264804
Provider Name (Legal Business Name): ARIELLE PRISK LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/02/2018
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
146 JUNIPER DR
FREEHOLD NJ
07728-2851
US
IV. Provider business mailing address
146 JUNIPER DR
FREEHOLD NJ
07728-2851
US
V. Phone/Fax
- Phone: 732-419-7861
- Fax: 609-633-1696
- Phone: 732-419-7861
- Fax: 609-633-1696
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 37PC01267700 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: