Provider Demographics
NPI:1891858130
Name:ARBORGATE ASSOCIATES INC
Entity Type:Organization
Organization Name:ARBORGATE ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR CLINICAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:P
Authorized Official - Last Name:RAPP
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:440-892-0452
Mailing Address - Street 1:31571 SCHWARTZ RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-3760
Mailing Address - Country:US
Mailing Address - Phone:440-892-0452
Mailing Address - Fax:440-892-3472
Practice Address - Street 1:24551 DETROIT RD
Practice Address - Street 2:STE 5
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-2592
Practice Address - Country:US
Practice Address - Phone:440-892-0452
Practice Address - Fax:440-892-3472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
332398OtherMHN
000000168838OtherANTHEM BCBS
294775000OtherMAGELLAN
2148215OtherCIGNA
2148215OtherCIGNA
AR9317421Medicare ID - Type Unspecified