Provider Demographics
NPI:1982801205
Name:HEALTHY ALTERNATIVES, INCORPORATED
Entity Type:Organization
Organization Name:HEALTHY ALTERNATIVES, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAUSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOCKABEE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:317-627-2377
Mailing Address - Street 1:549 N BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222-3805
Mailing Address - Country:US
Mailing Address - Phone:317-627-2377
Mailing Address - Fax:
Practice Address - Street 1:549 N BELMONT AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46222-3805
Practice Address - Country:US
Practice Address - Phone:317-627-2377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)