Provider Demographics
NPI:1598744641
Name:ARLEY, BRENDA J (MA, RNCS, LMFT)
Entity type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:J
Last Name:ARLEY
Suffix:
Gender:F
Credentials:MA, RNCS, LMFT
Other - Prefix:
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Mailing Address - Street 1:499 GLEN ST
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-2205
Mailing Address - Country:US
Mailing Address - Phone:518-798-9187
Mailing Address - Fax:518-223-0567
Practice Address - Street 1:499 GLEN ST
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-2205
Practice Address - Country:US
Practice Address - Phone:518-798-9187
Practice Address - Fax:518-223-0567
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-16
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY438735364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY14001OtherVALUE OPTIONS
NY55461763OtherUNITED BEHAVIORAL HEALTH
NY7488660OtherEMPIRE PLAN
NYR1153OtherBLUE CROSS BLUE SHIELD
NY55461763OtherUNITED BEHAVIORAL HEALTH