Provider Demographics
NPI:1508096231
Name:GALLIGHER, ARIANNA M (LISW-S)
Entity Type:Individual
Prefix:MRS
First Name:ARIANNA
Middle Name:M
Last Name:GALLIGHER
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7390 E RICH ST
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-2140
Mailing Address - Country:US
Mailing Address - Phone:614-288-4225
Mailing Address - Fax:
Practice Address - Street 1:466 N CASSADY AVE
Practice Address - Street 2:
Practice Address - City:BEXLEY
Practice Address - State:OH
Practice Address - Zip Code:43209-1027
Practice Address - Country:US
Practice Address - Phone:614-288-4225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-15
Last Update Date:2009-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI0700160.SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical