Provider Demographics
NPI:1033636394
Name:ILIFF, ARIANNA (LMFT)
Entity Type:Individual
Prefix:
First Name:ARIANNA
Middle Name:
Last Name:ILIFF
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ESSEX CENTER DR STE 110
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-2911
Mailing Address - Country:US
Mailing Address - Phone:617-299-2238
Mailing Address - Fax:
Practice Address - Street 1:8 ESSEX CENTER DR STE 110
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-2911
Practice Address - Country:US
Practice Address - Phone:617-299-2238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-28
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF001310106H00000X
OHM.1800102-TRNE106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist