Provider Demographics
NPI:1184943979
Name:ARIAS, ILIANA (MSW)
Entity type:Individual
Prefix:MRS
First Name:ILIANA
Middle Name:
Last Name:ARIAS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 S MAIN ST
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4507
Mailing Address - Country:US
Mailing Address - Phone:714-543-4333
Mailing Address - Fax:714-955-6590
Practice Address - Street 1:500 S MAIN ST
Practice Address - Street 2:SUITE 1100
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4507
Practice Address - Country:US
Practice Address - Phone:714-543-4333
Practice Address - Fax:714-955-6590
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28268101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health