Provider Demographics
NPI:1801405246
Name:HARRISON, ARIEL (PHD, LPC, LSC)
Entity Type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:
Last Name:HARRISON
Suffix:
Gender:F
Credentials:PHD, LPC, LSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3185 PALM TREE DR
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30038-2362
Mailing Address - Country:US
Mailing Address - Phone:470-309-3995
Mailing Address - Fax:
Practice Address - Street 1:3185 PALM TREE DR
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30038-2362
Practice Address - Country:US
Practice Address - Phone:470-309-3995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-30
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA772112101YS0200X
GALPC010349101YM0800X
VAPPS-0603625101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool