Healthcare Provider Details

I. General information

NPI: 1922293992
Provider Name (Legal Business Name): LESLI RIGGS-ARNOLD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2007
Last Update Date: 09/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 N 200 E
CEDAR CITY UT
84720-2615
US

IV. Provider business mailing address

474 W 200 N SUITE 300
ST GEORGE UT
84770-4505
US

V. Phone/Fax

Practice location:
  • Phone: 435-586-2515
  • Fax: 435-865-7606
Mailing address:
  • Phone: 435-634-5600
  • Fax: 435-986-8700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number140447-6006
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number140447-3501
License Number StateUT

VII. Legacy identifiers

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

# 1
IdentifierYAZZIL
Identifier TypeOTHER
Identifier StateUT
Identifier IssuerSWCBH STAFF CODE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: