Provider Demographics
NPI:1184479396
Name:BASILE, ARIANNA MARIA (BS)
Entity type:Individual
Prefix:
First Name:ARIANNA
Middle Name:MARIA
Last Name:BASILE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:539 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-5910
Mailing Address - Country:US
Mailing Address - Phone:484-896-9161
Mailing Address - Fax:
Practice Address - Street 1:539 CENTER ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-5910
Practice Address - Country:US
Practice Address - Phone:484-896-9161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health