Organization
HEALE, A PROFESSIONAL LICENSED CLINICAL SOCIAL WORK CORPORATION
Active
Other names
Heale
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA HALE LCSW (PRESIDENT)
(209) 450-8037
Entity
Organization
Contact information
Practice address
420 DOWNEY AVE, MODESTO, CA 95354-1301
(209) 450-8037
Mailing address
3848 MCHENRY AVE STE 135-123, MODESTO, CA 95356-1586
(209) 450-8037
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700125705
—
CA
Enumeration date
11/30/2021
Last updated
02/23/2022
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