Healthcare Provider Details

I. General information

NPI: 1164342747
Provider Name (Legal Business Name): TALIN M ARAIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 E RIDGEWOOD AVE UNIT 80-82
RIDGEWOOD NJ
07450-3877
US

IV. Provider business mailing address

111 TOWN SQUARE PLACE STE 1238 PMB 308161
JERSEY CITY NJ
07310
US

V. Phone/Fax

Practice location:
  • Phone: 332-243-7096
  • Fax:
Mailing address:
  • Phone: 332-243-7096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37AC00986600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: