Provider Demographics
NPI:1154108454
Name:RICHARD, ARIEL YASMINE (LAPC)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:YASMINE
Last Name:RICHARD
Suffix:
Gender:
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 DAWN DR
Mailing Address - Street 2:
Mailing Address - City:SHIRLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11967-1746
Mailing Address - Country:US
Mailing Address - Phone:347-370-8771
Mailing Address - Fax:
Practice Address - Street 1:34 DAWN DR
Practice Address - Street 2:
Practice Address - City:SHIRLEY
Practice Address - State:NY
Practice Address - Zip Code:11967-1746
Practice Address - Country:US
Practice Address - Phone:347-370-8771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP132498101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health