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VIOLET HEINTZ EDUCATION ACADEMY NPI 1518095488


NPI Information

NPI: 1518095488
Provider Name: VIOLET HEINTZ EDUCATION ACADEMY
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
4939 E YALE AVE
FRESNO, CA
ZIP 93727
Phone: (559) 443-4850
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VIOLET HEINTZ EDUCATION ACADEMY is an adolescent and children mental health clinic center in Fresno, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. VIOLET HEINTZ EDUCATION ACADEMY NPI is 1518095488. The provider is registered as an organization entity type.

The provider's business location address is:

4939 E YALE AVE
FRESNO, CA
ZIP 93727
Phone: (559) 443-4850

The provider's authorized official is Dawan Utecht .
The authorized official title is Direc Dep Beh Health and has the following contact phone number (559) 600-6895.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 9/5/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental Health000001091CALIFORNIANo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12415OTHERCOST CENTER
2000001091MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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