Provider Demographics
NPI:1164958427
Name:HEALTHLINC, INC
Entity Type:Organization
Organization Name:HEALTHLINC, INC
Other - Org Name:HEALTHLINC TJ TELEHEALTH (HEALTHY VIKES CLINIC)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-465-9503
Mailing Address - Street 1:2401 VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-2520
Mailing Address - Country:US
Mailing Address - Phone:219-477-6082
Mailing Address - Fax:219-465-9507
Practice Address - Street 1:1600 ROOSEVELT RD
Practice Address - Street 2:NURSES OFFICE
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-3738
Practice Address - Country:US
Practice Address - Phone:219-462-7173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHINC, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-05
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty