Provider Demographics
NPI:1124754387
Name:DE ANDRADO-BYARS, ARIANA NICOLE (MA, LPC)
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:NICOLE
Last Name:DE ANDRADO-BYARS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11545 N FRANK LLOYD WRIGHT BLVD APT 1047
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-3152
Mailing Address - Country:US
Mailing Address - Phone:469-698-6416
Mailing Address - Fax:
Practice Address - Street 1:5328 E VIRGINIA AVE APT 4
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-1737
Practice Address - Country:US
Practice Address - Phone:512-956-7372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-28
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82409101YP2500X
AZ22990101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional