Healthcare Provider Details

I. General information

NPI: 1790436012
Provider Name (Legal Business Name): HEAL TO HELP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2022
Last Update Date: 05/01/2023
Certification Date: 05/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 DUNKIRK DR
BIRMINGHAM AL
35214-2209
US

IV. Provider business mailing address

533 DUNKIRK DR
BIRMINGHAM AL
35214-2209
US

V. Phone/Fax

Practice location:
  • Phone: 205-547-0577
  • Fax:
Mailing address:
  • Phone: 205-305-9767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHAUNCIE LEE CARLISLE
Title or Position: EXECUTIVE OFFICER
Credential: BS
Phone: 205-305-9767