Provider Demographics
NPI:1740974815
Name:MCHALE, ALITHEA T (BA, CADCLL, QMHA)
Entity type:Individual
Prefix:
First Name:ALITHEA
Middle Name:T
Last Name:MCHALE
Suffix:
Gender:
Credentials:BA, CADCLL, QMHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 SE 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-1754
Mailing Address - Country:US
Mailing Address - Phone:541-668-9070
Mailing Address - Fax:
Practice Address - Street 1:908 NE 4TH ST STE 100
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-4646
Practice Address - Country:US
Practice Address - Phone:541-617-7365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-02
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR24-QMHA-I-004621101YM0800X
CAB00002020621101YA0400X
OR22-12-20238101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health