Provider Demographics
NPI:1679205447
Name:ARZANI, EMILY ALLISON (MA, NCC, LPCA)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ALLISON
Last Name:ARZANI
Suffix:
Gender:F
Credentials:MA, NCC, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CAMPBELL DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-7326
Mailing Address - Country:US
Mailing Address - Phone:704-562-0530
Mailing Address - Fax:
Practice Address - Street 1:757 JOHNNIE DODDS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3079
Practice Address - Country:US
Practice Address - Phone:843-471-0512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-29
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7632101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty