Healthcare Provider Details

I. General information

NPI: 1952680365
Provider Name (Legal Business Name): ARIANNE SCHELLER PHD., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2011
Last Update Date: 03/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 BIRCH ST
SCRANTON PA
18505-4240
US

IV. Provider business mailing address

602 BIRCH ST
SCRANTON PA
18505-4240
US

V. Phone/Fax

Practice location:
  • Phone: 570-498-9326
  • Fax:
Mailing address:
  • Phone: 570-498-9326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC005886
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: