Provider Demographics
NPI:1023815875
Name:ARBORVITAE INTEGRATIVE COUNSELING
Entity type:Organization
Organization Name:ARBORVITAE INTEGRATIVE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:KORTA
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:907-203-2531
Mailing Address - Street 1:PO BOX 433
Mailing Address - Street 2:
Mailing Address - City:TALKEETNA
Mailing Address - State:AK
Mailing Address - Zip Code:99676-0433
Mailing Address - Country:US
Mailing Address - Phone:907-203-2531
Mailing Address - Fax:
Practice Address - Street 1:15558 E WHIGMI RD
Practice Address - Street 2:
Practice Address - City:TALKEETNA
Practice Address - State:AK
Practice Address - Zip Code:99676
Practice Address - Country:US
Practice Address - Phone:907-203-2531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-28
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty