Healthcare Provider Details

I. General information

NPI: 1235705732
Provider Name (Legal Business Name): ARTHUR GATELY VI RMHCI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2021
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 N MILLS AVE
ORLANDO FL
32803-5346
US

IV. Provider business mailing address

206 W SYBELIA AVE
MAITLAND FL
32751-4739
US

V. Phone/Fax

Practice location:
  • Phone: 407-901-7672
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH21147
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: