Provider Demographics
NPI:1669839338
Name:MCDOWELL HEALING ARTS CENTER LLC
Entity Type:Organization
Organization Name:MCDOWELL HEALING ARTS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:MCDOWELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:LMSW
Authorized Official - Phone:989-475-4171
Mailing Address - Street 1:PO BOX 272
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:MI
Mailing Address - Zip Code:48724-0272
Mailing Address - Country:US
Mailing Address - Phone:989-475-4171
Mailing Address - Fax:989-393-6021
Practice Address - Street 1:3253 CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-3106
Practice Address - Country:US
Practice Address - Phone:989-475-4171
Practice Address - Fax:989-393-6021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-26
Last Update Date:2021-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty