Provider Demographics
NPI:1518567254
Name:MELES, ARRIAM T (CM)
Entity Type:Individual
Prefix:
First Name:ARRIAM
Middle Name:T
Last Name:MELES
Suffix:
Gender:F
Credentials:CM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5291
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85312-5291
Mailing Address - Country:US
Mailing Address - Phone:623-322-6143
Mailing Address - Fax:480-781-4566
Practice Address - Street 1:3930 N 30TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85017-4607
Practice Address - Country:US
Practice Address - Phone:662-332-2614
Practice Address - Fax:480-781-4566
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1891395604OtherHELPING HANDZ COUNSELING SERVICES OUTPATIENT TREATMENT CENTER