Provider Demographics
NPI:1740545839
Name:ARVELO, SELINA
Entity type:Individual
Prefix:
First Name:SELINA
Middle Name:
Last Name:ARVELO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 569
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-7654
Mailing Address - Country:US
Mailing Address - Phone:914-803-6737
Mailing Address - Fax:
Practice Address - Street 1:45 LUDLOW STREET
Practice Address - Street 2:SUITE 402
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-3911
Practice Address - Country:US
Practice Address - Phone:914-457-3325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2023-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005907101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health