Provider Demographics
NPI:1922862143
Name:MELIORA THERAPY CENTER
Entity Type:Organization
Organization Name:MELIORA THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCHALE
Authorized Official - Suffix:
Authorized Official - Credentials:LLMSW
Authorized Official - Phone:810-771-8457
Mailing Address - Street 1:2503 ARMOUR ST
Mailing Address - Street 2:
Mailing Address - City:PORT HURON
Mailing Address - State:MI
Mailing Address - Zip Code:48060-2904
Mailing Address - Country:US
Mailing Address - Phone:616-805-6740
Mailing Address - Fax:
Practice Address - Street 1:325 HURON AVE STE C
Practice Address - Street 2:
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-3842
Practice Address - Country:US
Practice Address - Phone:810-771-8457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty