1588708184 NPI number — ARBORVIEW COUNSELING, PC

Table of content: (NPI 1588708184)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588708184 NPI number — ARBORVIEW COUNSELING, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARBORVIEW COUNSELING, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588708184
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/09/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
30613 REDFIELD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NILES
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49120-5083
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-845-4026
Provider Business Mailing Address Fax Number:
866-804-4240

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6910 N MAIN ST
Provider Second Line Business Practice Location Address:
UNIT 31, SUITE 12H
Provider Business Practice Location Address City Name:
GRANGER
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46530-9680
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
269-782-2489
Provider Business Practice Location Address Fax Number:
269-782-2489
Provider Enumeration Date:
02/16/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
TAULBEE
Authorized Official First Name:
NICOLE
Authorized Official Middle Name:
M
Authorized Official Title or Position:
CO-PRESIDENT
Authorized Official Telephone Number:
866-845-4026

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251S00000X , with the licence number: 31894C , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)