Healthcare Provider Details

I. General information

NPI: 1093638843
Provider Name (Legal Business Name): MENTAL HEALTH ASSOCIATION IN ORANGE COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 JAMES P KELLY WAY
MIDDLETOWN NY
10940-6948
US

IV. Provider business mailing address

73 JAMES P KELLY WAY
MIDDLETOWN NY
10940-6948
US

V. Phone/Fax

Practice location:
  • Phone: 845-342-2400
  • Fax:
Mailing address:
  • Phone: 845-342-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: ANGELA JO HENZE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 845-342-2400