Provider Demographics
NPI:1124107552
Name:THE ARBOR CENTER
Entity type:Organization
Organization Name:THE ARBOR CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:CLAIRE
Authorized Official - Last Name:GAFFNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:703-352-8900
Mailing Address - Street 1:10560 MAIN ST
Mailing Address - Street 2:SUITE 410
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-7182
Mailing Address - Country:US
Mailing Address - Phone:703-352-8900
Mailing Address - Fax:703-352-9040
Practice Address - Street 1:10560 MAIN ST
Practice Address - Street 2:SUITE 410
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-7182
Practice Address - Country:US
Practice Address - Phone:703-352-8900
Practice Address - Fax:703-352-9040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001429101YM0800X
VA0701002398101YM0800X
VA0701001725101YM0800X
VA0701001604101YM0800X
VA09040050391041C0700X
VA09040026511041C0700X
VA09040023101041C0700X
VA09040044801041C0700X
VA09040030991041C0700X
VA09040043661041C0700X
VA09040025821041C0700X
VA0717000826106H00000X
VA0717000838106H00000X
VA0717000429106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty