Provider Demographics
NPI:1881084069
Name:ARIAN ENGLESSON
Entity type:Organization
Organization Name:ARIAN ENGLESSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ARIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGLESSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:954-608-3165
Mailing Address - Street 1:1222 N PALMWAY
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-2318
Mailing Address - Country:US
Mailing Address - Phone:954-608-3165
Mailing Address - Fax:
Practice Address - Street 1:1222 N PALMWAY
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-2318
Practice Address - Country:US
Practice Address - Phone:954-608-3165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-27
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10661101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty