Provider Demographics
NPI:1104004472
Name:ARLAN ENTERPRISES INC A FLORIDA CORPORATION
Entity Type:Organization
Organization Name:ARLAN ENTERPRISES INC A FLORIDA CORPORATION
Other - Org Name:ANOTHER ANSWER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLOUISE
Authorized Official - Middle Name:EILEEN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, ACSW, DCSW
Authorized Official - Phone:813-240-3948
Mailing Address - Street 1:3139 BENT CREEK DR
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33596-8290
Mailing Address - Country:US
Mailing Address - Phone:813-240-3948
Mailing Address - Fax:813-643-4908
Practice Address - Street 1:4316 NEW RIVER HILLS PKWY
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33596-8212
Practice Address - Country:US
Practice Address - Phone:813-240-3948
Practice Address - Fax:813-643-4908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW1624251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health