Healthcare Provider Details

I. General information

NPI: 1801705124
Provider Name (Legal Business Name): CARMEN NICOLE ARANDA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 S COLUMBUS BLVD STE 1 11473
PHILADELPHIA PA
19147-5529
US

IV. Provider business mailing address

2401 PENNSYLVANIA AVE
PHILADELPHIA PA
19130-3010
US

V. Phone/Fax

Practice location:
  • Phone: 215-804-9792
  • Fax:
Mailing address:
  • Phone: 215-804-9792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC020863
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: