Healthcare Provider Details

I. General information

NPI: 1235519422
Provider Name (Legal Business Name): ARBOR CREEK COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2015
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2653 BRUCE B DOWNS BLVD STE 108A
WESLEY CHAPEL FL
33544-9211
US

IV. Provider business mailing address

2653 BRUCE B DOWNS BLVD STE 108A
WESLEY CHAPEL FL
33544-9211
US

V. Phone/Fax

Practice location:
  • Phone: 717-461-5705
  • Fax:
Mailing address:
  • Phone: 717-461-5705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberCW017608
License Number StatePA

VIII. Authorized Official

Name: SUSAN BARTAK
Title or Position: LCSW
Credential:
Phone: 407-625-1014