Healthcare Provider Details

I. General information

NPI: 1598470049
Provider Name (Legal Business Name): ARLO HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2023
Last Update Date: 01/19/2023
Certification Date: 01/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 13TH ST NE APT 1506
ATLANTA GA
30309-4595
US

IV. Provider business mailing address

207 13TH ST NE APT 1506
ATLANTA GA
30309-4595
US

V. Phone/Fax

Practice location:
  • Phone: 631-213-7940
  • Fax:
Mailing address:
  • Phone: 631-213-7940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: VICTOR FURTICK
Title or Position: FOUNDER
Credential: LCSW
Phone: 631-213-7940