Provider Demographics
NPI:1801170550
Name:ARCARI, COLEEN
Entity type:Individual
Prefix:
First Name:COLEEN
Middle Name:
Last Name:ARCARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6375 RIVERWALK LN UNIT 5
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4635
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2200 E MILLBROOK RD
Practice Address - Street 2:#117
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-1788
Practice Address - Country:US
Practice Address - Phone:919-880-5770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-29
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist