Provider Demographics
NPI:1093408700
Name:PEREIRA, ARIADNE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ARIADNE
Middle Name:
Last Name:PEREIRA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2444 BRIDGEPORT DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-7618
Mailing Address - Country:US
Mailing Address - Phone:214-598-7174
Mailing Address - Fax:
Practice Address - Street 1:4645 AVON LN
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-1301
Practice Address - Country:US
Practice Address - Phone:972-704-1372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87513101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor