Provider Demographics
NPI:1205377199
Name:ARNELL, MICHAEL ALPHRA (CASACT, BS)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ALPHRA
Last Name:ARNELL
Suffix:
Gender:M
Credentials:CASACT, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1366 INWOOD AVE
Mailing Address - Street 2:BRONX NEW YORK
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10452
Mailing Address - Country:US
Mailing Address - Phone:646-401-9700
Mailing Address - Fax:646-401-9701
Practice Address - Street 1:1366 INWOOD AVE
Practice Address - Street 2:BRONX NEW YORK
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-3203
Practice Address - Country:US
Practice Address - Phone:646-401-9700
Practice Address - Fax:646-401-9701
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)