Provider Demographics
NPI:1235519422
Name:ARBOR CREEK COUNSELING, LLC
Entity Type:Organization
Organization Name:ARBOR CREEK COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-625-1014
Mailing Address - Street 1:4076 MARKET ST STE 101
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4200
Mailing Address - Country:US
Mailing Address - Phone:717-461-5705
Mailing Address - Fax:717-651-1315
Practice Address - Street 1:4076 MARKET ST STE 101
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4200
Practice Address - Country:US
Practice Address - Phone:717-461-5705
Practice Address - Fax:717-651-1315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW017608251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health