Provider Demographics
NPI:1235519422
Name:ARBOR CREEK COUNSELING, LLC
Entity type:Organization
Organization Name:ARBOR CREEK COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-625-1014
Mailing Address - Street 1:2653 BRUCE B DOWNS BLVD STE 108A
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-9211
Mailing Address - Country:US
Mailing Address - Phone:717-461-5705
Mailing Address - Fax:
Practice Address - Street 1:2653 BRUCE B DOWNS BLVD STE 108A
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-9211
Practice Address - Country:US
Practice Address - Phone:717-461-5705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
PACW017608251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health