Tracey Malesa-Wheaton, Lcsw, Llc

LBN: Tracey Malesa-Wheaton, Lcsw, Llc
Tracey Malesa-Wheaton, Lcsw, Llc is an health care organization with primary practice located at 429 W Lasalle Ave Apt 2 , South Bend IN 46601-1166. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Tracey Malesa-Wheaton, Lcsw, Llc can be contacted via phone (574) 520-8444, or through Malesa-Wheaton, Tracey via phone (574) 520-4444.

Contact Information

Primary practice address
429 W Lasalle Ave Apt 2 South Bend IN 46601-1166
Phone: (574) 520-8444
Fax: (574) 367-2154
Website:
Map and Directions
Authorized official contact:
Name: Malesa-Wheaton, Tracey
Phone: (574) 520-4444

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1912696451
LBN Legal business name Tracey Malesa-Wheaton, Lcsw, Llc
DBA Doing business as
Authorized official Malesa-Wheaton, Tracey
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2023
Last updated Mar 12th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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