Provider Demographics
NPI:1821501024
Name:ARBOL PROFESSIONAL COUNSELING, LLC
Entity type:Organization
Organization Name:ARBOL PROFESSIONAL COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:JUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:267-217-7065
Mailing Address - Street 1:280 PENNBROOK PKWY STE 208
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-3843
Mailing Address - Country:US
Mailing Address - Phone:267-217-7065
Mailing Address - Fax:
Practice Address - Street 1:280 PENNBROOK PKWY STE 208
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-3843
Practice Address - Country:US
Practice Address - Phone:267-217-7065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARBOL PROFESSIONAL COUNSELING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-09
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004248101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty