Provider Demographics
NPI:1922303726
Name:ARZA, MARITZA (LMHC)
Entity Type:Individual
Prefix:
First Name:MARITZA
Middle Name:
Last Name:ARZA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 RILEY RD # 165
Mailing Address - Street 2:
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-5420
Mailing Address - Country:US
Mailing Address - Phone:954-380-9533
Mailing Address - Fax:
Practice Address - Street 1:52 RILEY RD # 165
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34747-5420
Practice Address - Country:US
Practice Address - Phone:954-380-9533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-26
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7838101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL464546171OtherEMPLOYER IDENTIFICATION NUMBER (EIN)