Provider Demographics
NPI:1407412448
Name:ARBOR COUNSELING CENTERS, LLC
Entity Type:Organization
Organization Name:ARBOR COUNSELING CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:JOHANNA
Authorized Official - Last Name:MONTES VERGARA
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:908-543-9100
Mailing Address - Street 1:220 LENOX AVE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-5101
Mailing Address - Country:US
Mailing Address - Phone:908-543-9100
Mailing Address - Fax:908-206-4101
Practice Address - Street 1:220 LENOX AVE STE 201
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-5119
Practice Address - Country:US
Practice Address - Phone:908-230-3999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-15
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty