Provider Demographics
NPI:1891119822
Name:ENCINAS, ARIELLA (LPC)
Entity type:Individual
Prefix:
First Name:ARIELLA
Middle Name:
Last Name:ENCINAS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12467 W HOLLY ST
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392-6596
Mailing Address - Country:US
Mailing Address - Phone:928-853-6002
Mailing Address - Fax:
Practice Address - Street 1:12467 W HOLLY ST
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-6596
Practice Address - Country:US
Practice Address - Phone:928-853-6002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-11
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ15561101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ13769OtherLICENSE ARIZONA