Provider Demographics
NPI:1386942894
Name:CARLA RENAE ARLIEN PHD LLC
Entity type:Organization
Organization Name:CARLA RENAE ARLIEN PHD LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:RENAE
Authorized Official - Last Name:ARLIEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:724-512-0900
Mailing Address - Street 1:PO BOX 5545
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-0545
Mailing Address - Country:US
Mailing Address - Phone:724-512-0900
Mailing Address - Fax:330-953-1364
Practice Address - Street 1:3582 BRODHEAD RD STE 104
Practice Address - Street 2:
Practice Address - City:MONACA
Practice Address - State:PA
Practice Address - Zip Code:15061-3142
Practice Address - Country:US
Practice Address - Phone:724-512-0900
Practice Address - Fax:330-953-1364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-08
Last Update Date:2021-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015878103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA214521Medicare PIN