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NPI Code Detail

MEDICARE: ARIES MENTAL HEALTH SERVICES, LLC

MEDICARE: ARIES MENTAL HEALTH SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1306796560
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIES MENTAL HEALTH SERVICES, LLC
Provider Business Mailing Address
First Line : 495 NE 89TH ST
Second Line :
City : EL PORTAL
State : FL
Zip : 33138-3144
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 495 NE 89TH ST
Second Line :
City : EL PORTAL
State : FL
Zip : 33138-3144
Country : US
Telephone Number : 781-866-0102
Fax Number :
Authorized Official
Title or Position : LICENSED MENTAL HEALTH COUNSELOR
Name : SAMANTHA BARICELLI
Credential : LMHC
Telephone Number : 781-866-0102
Provider Enumeration Date : 01/29/2026
Last Update Date : 01/29/2026

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Directions to “ARIES MENTAL HEALTH SERVICES, LLC ” Practice Location

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