Healthcare Provider Details

I. General information

NPI: 1326902370
Provider Name (Legal Business Name): ARIANA NICOLE MOINI MFT TRAINEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6797 N HIGH ST STE 203
WORTHINGTON OH
43085-2533
US

IV. Provider business mailing address

6797 N HIGH ST STE 203
WORTHINGTON OH
43085-2533
US

V. Phone/Fax

Practice location:
  • Phone: 614-362-6462
  • Fax:
Mailing address:
  • Phone: 614-362-6462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberM.2500471-TRNE
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: