Provider Demographics
NPI:1689794190
Name:HEALTHERAPY, INC.
Entity Type:Organization
Organization Name:HEALTHERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER/INTAKE SPECIALIST/CA
Authorized Official - Prefix:MS
Authorized Official - First Name:VONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-842-3455
Mailing Address - Street 1:P.O. BOX 397
Mailing Address - Street 2:
Mailing Address - City:YREKA
Mailing Address - State:CA
Mailing Address - Zip Code:96097
Mailing Address - Country:US
Mailing Address - Phone:530-842-3455
Mailing Address - Fax:530-842-7917
Practice Address - Street 1:1833 S OREGON STREET
Practice Address - Street 2:
Practice Address - City:YREKA
Practice Address - State:CA
Practice Address - Zip Code:96097
Practice Address - Country:US
Practice Address - Phone:530-842-3455
Practice Address - Fax:530-842-7917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000004756Medicaid