Provider Demographics
NPI:1871304667
Name:MYERS, ARIEL (LMSW)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:
Last Name:MYERS
Suffix:
Gender:X
Credentials:LMSW
Other - Prefix:
Other - First Name:ARI
Other - Middle Name:
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:1430 E FORT LOWELL RD STE 210
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-2366
Mailing Address - Country:US
Mailing Address - Phone:520-222-9064
Mailing Address - Fax:
Practice Address - Street 1:1430 E FORT LOWELL RD STE 210
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2366
Practice Address - Country:US
Practice Address - Phone:520-222-9064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-223651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical