Provider Demographics
NPI:1386375293
Name:GARELLEK COUNSELING PLLC
Entity type:Organization
Organization Name:GARELLEK COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AKIVA
Authorized Official - Middle Name:J
Authorized Official - Last Name:GARELLEK
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:954-361-4535
Mailing Address - Street 1:5790 STIRLING RD APT 210
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-1544
Mailing Address - Country:US
Mailing Address - Phone:954-361-4535
Mailing Address - Fax:
Practice Address - Street 1:2419 HOLLYWOOD BLVD # H
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6605
Practice Address - Country:US
Practice Address - Phone:954-361-4535
Practice Address - Fax:954-800-8859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty