Provider Demographics
NPI:1003227851
Name:BERRIOS, ARIANA
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:BERRIOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:O-178 HERON DR NW
Mailing Address - Street 2:APT 201 F
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49534-1295
Mailing Address - Country:US
Mailing Address - Phone:248-953-4062
Mailing Address - Fax:
Practice Address - Street 1:O-178 HERON DR NW
Practice Address - Street 2:APT 201 F
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49534-1295
Practice Address - Country:US
Practice Address - Phone:248-953-4062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker