Provider Demographics
NPI:1043648413
Name:FERNANDEZ, ARIANNA (MS, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ARIANNA
Middle Name:
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:ARIANNA
Other - Middle Name:
Other - Last Name:FERNANDEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:6710 CONGRESS AVENUE
Mailing Address - Street 2:APT 411
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-1122
Mailing Address - Country:US
Mailing Address - Phone:954-279-6324
Mailing Address - Fax:
Practice Address - Street 1:399 NW 2ND AVE STE 214
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-3848
Practice Address - Country:US
Practice Address - Phone:954-279-6324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-23
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11447101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health