Provider Demographics
NPI:1174363451
Name:STANKOVIC, ARIANA (LMHC)
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:STANKOVIC
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 INDIAN BEAD RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47909-8900
Mailing Address - Country:US
Mailing Address - Phone:765-637-4884
Mailing Address - Fax:
Practice Address - Street 1:1435 WIN HENTSCHEL BLVD STE B122
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-4147
Practice Address - Country:US
Practice Address - Phone:765-637-4884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-25
Last Update Date:2024-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39004926A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health