=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700686904
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALIVIA JANE ARANITI LPC-A
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/17/2025
-----------------------------------------------------
Last Update Date | 03/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 223 ADDISON RD STE 303
-----------------------------------------------------
City | GLASTONBURY
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06033-5612
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-681-4681
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 57 NORTHGATE
-----------------------------------------------------
City | SIMSBURY
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06070-1032
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-803-3526
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 079231420
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------