Provider Demographics
NPI:1134614696
Name:ARBOR CIRCLE CORPORATION
Entity type:Organization
Organization Name:ARBOR CIRCLE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REIMBURSEMENT SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAFLEUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-456-7775
Mailing Address - Street 1:1115 BALL AVE NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49505-5904
Mailing Address - Country:US
Mailing Address - Phone:616-456-7775
Mailing Address - Fax:616-235-0979
Practice Address - Street 1:427 SEMINOLE RD STE 200B
Practice Address - Street 2:
Practice Address - City:NORTON SHORES
Practice Address - State:MI
Practice Address - Zip Code:49444-3747
Practice Address - Country:US
Practice Address - Phone:231-777-2222
Practice Address - Fax:231-777-2066
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARBOR CIRCLE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-27
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISA0610100101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty