Provider Demographics
NPI:1881228799
Name:ARBOR SPRINGS COUNSELING
Entity Type:Organization
Organization Name:ARBOR SPRINGS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:LEBEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-721-8658
Mailing Address - Street 1:528 CLIFTON HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37821-2503
Mailing Address - Country:US
Mailing Address - Phone:423-721-2850
Mailing Address - Fax:
Practice Address - Street 1:528 CLIFTON HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:TN
Practice Address - Zip Code:37821-2503
Practice Address - Country:US
Practice Address - Phone:423-721-2850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-29
Last Update Date:2020-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty