Provider Demographics
NPI:1992397814
Name:ARRU, MARIEL (LCMHC)
Entity type:Individual
Prefix:
First Name:MARIEL
Middle Name:
Last Name:ARRU
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:MARIEL
Other - Middle Name:
Other - Last Name:ARRU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCMHC
Mailing Address - Street 1:1422 ASHSTEAD LN
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-5800
Mailing Address - Country:US
Mailing Address - Phone:704-226-7269
Mailing Address - Fax:
Practice Address - Street 1:1136 SAM NEWELL RD # A-4
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-5063
Practice Address - Country:US
Practice Address - Phone:704-226-7269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-11
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16325101YP2500X
NCA16325101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional