Provider Demographics
NPI:1265009674
Name:LIVINGSTON, ARIANNA MARIE (LCMHC)
Entity Type:Individual
Prefix:
First Name:ARIANNA
Middle Name:MARIE
Last Name:LIVINGSTON
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 ABBEY RD
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:NC
Mailing Address - Zip Code:28327-0049
Mailing Address - Country:US
Mailing Address - Phone:218-839-9490
Mailing Address - Fax:
Practice Address - Street 1:513 ABBEY RD
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NC
Practice Address - Zip Code:28327-0049
Practice Address - Country:US
Practice Address - Phone:218-839-9490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-06
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA16423101YM0800X
NC16423101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health