Provider Demographics
NPI:1508685587
Name:ARIEL ECKENRODE
Entity type:Organization
Organization Name:ARIEL ECKENRODE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ECKENRODE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:724-212-9792
Mailing Address - Street 1:522 BREDIN ST
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-6805
Mailing Address - Country:US
Mailing Address - Phone:724-212-9792
Mailing Address - Fax:
Practice Address - Street 1:205 S DUFFY RD STE B
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2789
Practice Address - Country:US
Practice Address - Phone:724-256-9881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-07
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty