Provider Demographics
NPI:1619399417
Name:HEAL, ASSOCIATES
Entity Type:Organization
Organization Name:HEAL, ASSOCIATES
Other - Org Name:HEAL - HOLISTIC ENCOURAGEMENT FOR THE AUTHENTIC LIFE
Other - Org Type:Other Name
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:941-462-4807
Mailing Address - Street 1:8470 ENTERPRISE CIR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-4102
Mailing Address - Country:US
Mailing Address - Phone:941-462-4807
Mailing Address - Fax:
Practice Address - Street 1:8470 ENTERPRISE CIR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-4102
Practice Address - Country:US
Practice Address - Phone:941-462-4807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-13
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
CT7240261QC1500X
FLSW 13170261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008049744Medicaid
CT350055OtherTRICARE
1760786800OtherNPI TYPE 1