Provider Demographics
NPI:1083784342
Name:HERLAND INC
Entity Type:Organization
Organization Name:HERLAND INC
Other - Org Name:CLEARVIEW COUNSELING CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:632-398-0562
Mailing Address - Street 1:13540 W. CAMINO DEL SOL
Mailing Address - Street 2:#8
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-4434
Mailing Address - Country:US
Mailing Address - Phone:623-398-0562
Mailing Address - Fax:
Practice Address - Street 1:13540 W CAMINO DEL SOL
Practice Address - Street 2:#8
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-4434
Practice Address - Country:US
Practice Address - Phone:623-398-0562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ946478Medicaid