Provider Demographics
NPI:1558940072
Name:HEALINGOAK THERAPY LLC
Entity Type:Organization
Organization Name:HEALINGOAK THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MEIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALON
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:406-426-1450
Mailing Address - Street 1:220 S 16TH AVE APT C
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-4173
Mailing Address - Country:US
Mailing Address - Phone:952-300-1404
Mailing Address - Fax:
Practice Address - Street 1:2201 BAXTER LN
Practice Address - Street 2:11151
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-5971
Practice Address - Country:US
Practice Address - Phone:406-426-1450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-02
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty