Provider Demographics
NPI:1780215517
Name:ARIAS, ANABELLE (LMSW)
Entity Type:Individual
Prefix:
First Name:ANABELLE
Middle Name:
Last Name:ARIAS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2421 FULLER ST APT 2R
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2948
Mailing Address - Country:US
Mailing Address - Phone:347-734-2647
Mailing Address - Fax:
Practice Address - Street 1:1 WARTBURG PL
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552-3821
Practice Address - Country:US
Practice Address - Phone:914-513-5231
Practice Address - Fax:914-513-5318
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-30
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY081794-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health