Provider Demographics
NPI:1144980343
Name:RIVERO, ARIANA (LMFT-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:RIVERO
Suffix:
Gender:F
Credentials:LMFT-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4210 SAIRMOUNT ST
Mailing Address - Street 2:5080
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219
Mailing Address - Country:US
Mailing Address - Phone:575-704-9825
Mailing Address - Fax:
Practice Address - Street 1:823 IRA E WOODS AVE STE 200
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-4096
Practice Address - Country:US
Practice Address - Phone:817-722-6078
Practice Address - Fax:817-722-6077
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204337106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist