1750089082 NPI number — ARROWS COUNSELING CENTER, LLC

Table of content: (NPI 1750089082)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750089082 NPI number — ARROWS COUNSELING CENTER, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARROWS COUNSELING CENTER, LLC
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:
1750089082
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/24/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1510 S RIVERVIEW RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MALTA
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43758-9497
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
740-704-3242
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
380 E MCCONNELL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCCONNELSVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43756-4375
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-704-3242
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/16/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BELL
Authorized Official First Name:
MERANDA
Authorized Official Middle Name:
K
Authorized Official Title or Position:
OWNER/LPCC-S
Authorized Official Telephone Number:
740-704-3242

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YS0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 0262763 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".