Provider Demographics
NPI:1134846348
Name:ARIAS GONZALEZ, THALIA MELISSA
Entity type:Individual
Prefix:
First Name:THALIA
Middle Name:MELISSA
Last Name:ARIAS GONZALEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:THALIA
Other - Middle Name:
Other - Last Name:ARIAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4919 MCBRIDE AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44127-1544
Mailing Address - Country:US
Mailing Address - Phone:216-278-3196
Mailing Address - Fax:
Practice Address - Street 1:12 E EXCHANGE ST FL 6
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1541
Practice Address - Country:US
Practice Address - Phone:216-278-3196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator