Provider Demographics
NPI:1316286289
Name:TREMBLY, ARA (LPC)
Entity type:Individual
Prefix:
First Name:ARA
Middle Name:
Last Name:TREMBLY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 HARRISON POINT TRL
Mailing Address - Street 2:
Mailing Address - City:AMELIA ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32034-5017
Mailing Address - Country:US
Mailing Address - Phone:904-347-5139
Mailing Address - Fax:
Practice Address - Street 1:100 MARINERS DR STE D
Practice Address - Street 2:
Practice Address - City:KINGSLAND
Practice Address - State:GA
Practice Address - Zip Code:31548-6667
Practice Address - Country:US
Practice Address - Phone:912-510-0669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-12
Last Update Date:2021-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008112101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional