Provider Demographics
NPI:1962110320
Name:ARIANNES THERAPY ROOM CORP
Entity type:Organization
Organization Name:ARIANNES THERAPY ROOM CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ARIANNE
Authorized Official - Middle Name:R
Authorized Official - Last Name:SWINNEY-GRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MHC
Authorized Official - Phone:702-279-4455
Mailing Address - Street 1:145 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:BRIGHAM CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84302-3108
Mailing Address - Country:US
Mailing Address - Phone:435-315-6069
Mailing Address - Fax:
Practice Address - Street 1:189 S STATE ST STE 230
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:UT
Practice Address - Zip Code:84015-1001
Practice Address - Country:US
Practice Address - Phone:435-315-6069
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty