Provider Demographics
NPI:1699264804
Name:PRISK, ARIELLE (LAC)
Entity type:Individual
Prefix:
First Name:ARIELLE
Middle Name:
Last Name:PRISK
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:ARIELLE
Other - Middle Name:
Other - Last Name:SCHECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:50 DEY GROVE RD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8501
Mailing Address - Country:US
Mailing Address - Phone:347-582-3372
Mailing Address - Fax:
Practice Address - Street 1:219 TAYLORS MILLS RD
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3255
Practice Address - Country:US
Practice Address - Phone:908-415-2042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-02
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00391100101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health