Provider Demographics
NPI:1225438468
Name:AARON, ARIELA
Entity Type:Individual
Prefix:
First Name:ARIELA
Middle Name:
Last Name:AARON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 BAGBY DR
Mailing Address - Street 2:SUITE 354
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-3735
Mailing Address - Country:US
Mailing Address - Phone:205-332-3719
Mailing Address - Fax:844-804-2323
Practice Address - Street 1:85 BAGBY DR
Practice Address - Street 2:SUITE 354
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-3735
Practice Address - Country:US
Practice Address - Phone:205-332-3719
Practice Address - Fax:844-804-2323
Is Sole Proprietor?:No
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3051101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional