Provider Demographics
NPI:1275391682
Name:C.A. HENKEL, INC.
Entity Type:Organization
Organization Name:C.A. HENKEL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:A
Authorized Official - Last Name:HENKEL
Authorized Official - Suffix:
Authorized Official - Credentials:MS EDS
Authorized Official - Phone:724-454-7561
Mailing Address - Street 1:2 GARDEN CENTER DRIVE
Mailing Address - Street 2:ONE NORTHGATE SQUARE SUITE 206
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-1341
Mailing Address - Country:US
Mailing Address - Phone:724-454-7561
Mailing Address - Fax:
Practice Address - Street 1:2 GARDEN CENTER DRIVE
Practice Address - Street 2:ONE NORTHGATE SQUARE SUITE 206
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-1341
Practice Address - Country:US
Practice Address - Phone:724-454-7561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CA HENKEL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01606549Medicaid