Provider Demographics
NPI:1154905958
Name:AYALA, ARIANNA (LPC, CSAC)
Entity type:Individual
Prefix:
First Name:ARIANNA
Middle Name:
Last Name:AYALA
Suffix:
Gender:F
Credentials:LPC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3109 N PARHAM RD APT 1
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4416
Mailing Address - Country:US
Mailing Address - Phone:347-584-3195
Mailing Address - Fax:
Practice Address - Street 1:2421 WESTWOOD AVE STE F
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-4022
Practice Address - Country:US
Practice Address - Phone:804-330-6441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-07
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701010298101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health