Provider Demographics
NPI:1013616267
Name:HEALING FIELD BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:HEALING FIELD BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:O
Authorized Official - Last Name:UCHENDU
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:517-325-3688
Mailing Address - Street 1:PO BOX 42
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:MI
Mailing Address - Zip Code:48854-0042
Mailing Address - Country:US
Mailing Address - Phone:517-325-3688
Mailing Address - Fax:
Practice Address - Street 1:4197 BLACK CHERRY LANE
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:MI
Practice Address - Zip Code:48854
Practice Address - Country:US
Practice Address - Phone:517-325-3688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty