Basic Information
Provider Information
NPI: 1275925497
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WESTON
FirstName: ARIELA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1000 URBAN CENTER DR
Address2: STE 600
City: VESTAVIA
State: AL
PostalCode: 352422584
CountryCode: US
TelephoneNumber: 2052089312
FaxNumber:  
Practice Location
Address1: 4040 MEMORIAL PKWY SW
Address2:  
City: HUNTSVILLE
State: AL
PostalCode: 358024364
CountryCode: US
TelephoneNumber: 2565331970
FaxNumber: 2567056477
Other Information
ProviderEnumerationDate: 02/25/2015
LastUpdateDate: 06/30/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/30/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X3749CALY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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