Provider Demographics
NPI:1740858141
Name:BENJI-BEYZER, ARIELLA RACHEL
Entity type:Individual
Prefix:
First Name:ARIELLA
Middle Name:RACHEL
Last Name:BENJI-BEYZER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ARIELLA
Other - Middle Name:RACHEL
Other - Last Name:BEYZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:625 MARKET ST FL 15
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-3316
Mailing Address - Country:US
Mailing Address - Phone:415-360-3833
Mailing Address - Fax:
Practice Address - Street 1:625 MARKET ST FL 15
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-3316
Practice Address - Country:US
Practice Address - Phone:415-360-3833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA124070106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty