Provider Demographics
NPI:1285092247
Name:KATHERINE ARKELL AND ASSOCIATES
Entity type:Organization
Organization Name:KATHERINE ARKELL AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:D
Authorized Official - Last Name:ARKELL
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:479-685-7830
Mailing Address - Street 1:5090 STATE ST
Mailing Address - Street 2:SUITE 102-B
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-7706
Mailing Address - Country:US
Mailing Address - Phone:479-685-7830
Mailing Address - Fax:
Practice Address - Street 1:5090 STATE ST
Practice Address - Street 2:SUITE 102-B
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-7706
Practice Address - Country:US
Practice Address - Phone:479-685-7830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010948021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty