Healthcare Provider Details

I. General information

NPI: 1346695269
Provider Name (Legal Business Name): ARIANA GEISSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2016
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10905 MEMORIAL HERMANN DR STE 111
PEARLAND TX
77584-3490
US

IV. Provider business mailing address

10905 MEMORIAL HERMANN DR STE 111
PEARLAND TX
77584-3490
US

V. Phone/Fax

Practice location:
  • Phone: 281-929-4727
  • Fax: 281-929-4728
Mailing address:
  • Phone: 281-929-4727
  • Fax: 281-929-4728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number68517
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: