Provider Demographics
NPI:1871242396
Name:ARBOR DAY COUNSELING LLC
Entity Type:Organization
Organization Name:ARBOR DAY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:TINA
Authorized Official - Last Name:PERMENTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:985-981-9805
Mailing Address - Street 1:41420 CROWN DRIVE EXT
Mailing Address - Street 2:
Mailing Address - City:PONCHATOULA
Mailing Address - State:LA
Mailing Address - Zip Code:70454-5802
Mailing Address - Country:US
Mailing Address - Phone:985-981-9805
Mailing Address - Fax:
Practice Address - Street 1:202 S TYLER ST STE A
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-3036
Practice Address - Country:US
Practice Address - Phone:985-981-9805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)