Provider Demographics
NPI:1861211187
Name:ARIEL MCKINNEY PHD, PLLC
Entity type:Organization
Organization Name:ARIEL MCKINNEY PHD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LP
Authorized Official - Phone:945-215-8966
Mailing Address - Street 1:120 E GRUBB DR # 850073
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-3488
Mailing Address - Country:US
Mailing Address - Phone:945-215-8966
Mailing Address - Fax:
Practice Address - Street 1:120 E GRUBB DR # 850073
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-3488
Practice Address - Country:US
Practice Address - Phone:945-215-8966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty