Provider Demographics
NPI:1407601248
Name:CROSBY, ARIEL ZULLY (RMHCI)
Entity type:Individual
Prefix:MRS
First Name:ARIEL
Middle Name:ZULLY
Last Name:CROSBY
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:798 NW 7TH DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-3524
Mailing Address - Country:US
Mailing Address - Phone:561-213-3401
Mailing Address - Fax:
Practice Address - Street 1:798 NW 7TH DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-3524
Practice Address - Country:US
Practice Address - Phone:561-213-3401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1252968101YS0200X
FLIMH25587101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool