Healthcare Provider Details

I. General information

NPI: 1598744641
Provider Name (Legal Business Name): BRENDA J ARLEY MA, RNCS, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2006
Last Update Date: 08/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 GLEN ST
GLENS FALLS NY
12801-2205
US

IV. Provider business mailing address

499 GLEN ST
GLENS FALLS NY
12801-2205
US

V. Phone/Fax

Practice location:
  • Phone: 518-798-9187
  • Fax: 518-223-0567
Mailing address:
  • Phone: 518-798-9187
  • Fax: 518-223-0567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number438735
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: