Provider Demographics
NPI:1942288444
Name:BREEN, ARIEL T (LPC, LMHC, NCC, CAP)
Entity Type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:T
Last Name:BREEN
Suffix:
Gender:F
Credentials:LPC, LMHC, NCC, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12110 BEAGLE RD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-6013
Mailing Address - Country:US
Mailing Address - Phone:727-815-8100
Mailing Address - Fax:888-848-6965
Practice Address - Street 1:4809 TROUBLE CREEK RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4828
Practice Address - Country:US
Practice Address - Phone:727-815-8100
Practice Address - Fax:888-848-6965
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8897101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102219Medicaid
FLMH8897OtherLMHC