Provider Demographics
NPI:1629571310
Name:ARKO COUNSELING CENTER, PLLC
Entity type:Organization
Organization Name:ARKO COUNSELING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARKO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:480-502-5092
Mailing Address - Street 1:PO BOX 71751
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-1013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10049 E DYNAMITE BLVD STE 135
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85262-3695
Practice Address - Country:US
Practice Address - Phone:480-502-5092
Practice Address - Fax:602-368-9300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-09
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-12259101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty