Provider Demographics
NPI:1639977085
Name:ROCK, ARIEL NICOLE (LMHC)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:NICOLE
Last Name:ROCK
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4413 ELLSWORTH BLVD BLDG 4
Mailing Address - Street 2:
Mailing Address - City:BALLSTON SPA
Mailing Address - State:NY
Mailing Address - Zip Code:12020-3357
Mailing Address - Country:US
Mailing Address - Phone:423-762-7172
Mailing Address - Fax:
Practice Address - Street 1:4413 ELLSWORTH BLVD BLDG 4
Practice Address - Street 2:
Practice Address - City:BALLSTON SPA
Practice Address - State:NY
Practice Address - Zip Code:12020-3357
Practice Address - Country:US
Practice Address - Phone:423-762-7172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015504101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health