Alcala, Heather Dawn

Alcala, Heather Dawn is an sole proprietor health care provider with primary practice located at 701 Santa Isabel Blvd Ste 4 , Laguna Vista TX 78578-2647. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Alcala, Heather Dawn can be contacted via phone (361) 489-5371.

Contact Information

Primary practice address
701 Santa Isabel Blvd Ste 4 Laguna Vista TX 78578-2647
Phone: (361) 489-5371
Fax: (956) 435-0135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12392 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 81631 Texas

Profile Details

NPI number 1689074635
LBN Legal business name Alcala, Heather Dawn
Credentials LCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2014
Last updated Nov 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689074635 NPPES
Texas MEDICAID 429775601
Texas Other 81631

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