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General NPI Number Information
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NPI Number | 1235519422
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Entity Type | Organization
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Legal Business Name | ARBOR CREEK COUNSELING, LLC
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 2653 BRUCE B DOWNS BLVD STE 108A
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-9211
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Country | US
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Telephone | 717-461-5705
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Fax |
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Provider Business Mailing Address
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Address Line | 2653 BRUCE B DOWNS BLVD STE 108A
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-9211
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Country | US
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Telephone | 717-461-5705
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | SUSAN BARTAK
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Credential |
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Telephone | 407-625-1014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | CW017608
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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