Provider Demographics
NPI:1215383096
Name:ODAY, ARIANA RICE (LMFT)
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:RICE
Last Name:ODAY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ARIANA
Other - Middle Name:MARIE
Other - Last Name:RICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 756
Mailing Address - Street 2:
Mailing Address - City:MOUNT HERMON
Mailing Address - State:CA
Mailing Address - Zip Code:95041-0756
Mailing Address - Country:US
Mailing Address - Phone:831-332-9131
Mailing Address - Fax:
Practice Address - Street 1:6001 BUTLER LN STE 201
Practice Address - Street 2:
Practice Address - City:SCOTTS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95066-3548
Practice Address - Country:US
Practice Address - Phone:510-853-9195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-10
Last Update Date:2020-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 87096106H00000X
CA106360106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist