Provider Demographics
NPI:1104582196
Name:WESTFALL, ARIANA (MS MFT-I)
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:WESTFALL
Suffix:
Gender:F
Credentials:MS MFT-I
Other - Prefix:
Other - First Name:ARIANA
Other - Middle Name:
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3803 PILGRIM ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-4445
Mailing Address - Country:US
Mailing Address - Phone:702-884-5814
Mailing Address - Fax:
Practice Address - Street 1:3803 PILGRIM ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-4445
Practice Address - Country:US
Practice Address - Phone:702-884-5814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-13
Last Update Date:2021-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI4034106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist