Provider Demographics
NPI:1912873654
Name:ALLIED HEALERS BEHAVIORAL HEALTH A LICENSED CLINICAL SOCIAL WORKER COR
Entity type:Organization
Organization Name:ALLIED HEALERS BEHAVIORAL HEALTH A LICENSED CLINICAL SOCIAL WORKER COR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:TAQIALDEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMIL
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:714-248-3764
Mailing Address - Street 1:2230 W CHAPMAN AVE STE 210C
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-2316
Mailing Address - Country:US
Mailing Address - Phone:714-248-3764
Mailing Address - Fax:512-521-0386
Practice Address - Street 1:2230 W CHAPMAN AVE STE 210C
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2316
Practice Address - Country:US
Practice Address - Phone:714-248-3764
Practice Address - Fax:512-521-0386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty