Provider Demographics
NPI:1578151262
Name:ARCE, MARISOL (MSED, CASAC)
Entity Type:Individual
Prefix:
First Name:MARISOL
Middle Name:
Last Name:ARCE
Suffix:
Gender:F
Credentials:MSED, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MARISOL ARCE
Mailing Address - Street 2:APT. 3
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414
Mailing Address - Country:US
Mailing Address - Phone:347-489-8954
Mailing Address - Fax:
Practice Address - Street 1:EAST NEW YORK GOTHAM HEALTH
Practice Address - Street 2:2094 PITKIN AVENUE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207
Practice Address - Country:US
Practice Address - Phone:718-485-7760
Practice Address - Fax:718-485-7780
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2-35648101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)