Provider Demographics
NPI:1457639460
Name:DREW-MOWTON, ARIANA M (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ARIANA
Middle Name:M
Last Name:DREW-MOWTON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 CHARLES CT S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4222
Mailing Address - Country:US
Mailing Address - Phone:631-327-0313
Mailing Address - Fax:
Practice Address - Street 1:341 CHARLES CT S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4222
Practice Address - Country:US
Practice Address - Phone:631-327-0313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-25
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10257101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003974900Medicaid