Provider Demographics
NPI:1821859489
Name:ARSUAGA, GABRIELLA NICOLE
Entity type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:NICOLE
Last Name:ARSUAGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 EMBASSY DR
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-1638
Mailing Address - Country:US
Mailing Address - Phone:267-640-8820
Mailing Address - Fax:
Practice Address - Street 1:1610 W MAIN ST
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-2718
Practice Address - Country:US
Practice Address - Phone:610-810-1716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health