MEDICARE: COUNTY OF TULARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1851495105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF TULARE

Provider Business Mailing Address
First Line	:	5957 S MOONEY BLVD
Second Line	:
City	:	VISALIA
State	:	CA
Zip	:	93277-9394
Country	:	US
Telephone Number	:	559-624-8000
Fax Number	:	559-737-4697

Provider Business Practice Location Address
First Line	:	1055 W HENDERSON AVE
Second Line	:
City	:	PORTERVILLE
State	:	CA
Zip	:	93257-1490
Country	:	US
Telephone Number	:	559-788-1200
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF MENTAL HEALTH
Name	:	NATALIE BOLIN
Credential	:
Telephone Number	:	559-624-7445

Provider Enumeration Date	:	09/08/2006
Last Update Date	:	07/01/2024

Similar Medicare Providers

1215526777 — MRS. LORI ORTIZ LOPEZ
Practice Location Address:

1055 W HENDERSON AVE STE 2
PORTERVILLE, CA
93257-1490

Practice Phone: 559-788-1200
Practice Fax: 559-713-3717

1700812765 — HARRIETTE DENICE GREEN MD
Practice Location Address:

1055 W HENDERSON AVE
PORTERVILLE, CA
93257-1490

Practice Phone: 559-788-1250
Practice Fax: 559-782-4712

1396779013 — COUNTY OF TULARE
Practice Location Address:

1055 W HENDERSON AVE
PORTERVILLE, CA
93257-1490

Practice Phone: 559-788-1200
Practice Fax: 559-782-3910

1679663439 — MS. CHERYL ANN WELDON LMFT
Practice Location Address:

1055 W HENDERSON AVE , STE #2
PORTERVILLE, CA
93257-1490

Practice Phone: 559-788-1200
Practice Fax: 559-713-3717

1982781241 — ESMERALDA LEON LCSW
Practice Location Address:

1055 W HENDERSON AVE STE 2
PORTERVILLE, CA
93257-1490

Practice Phone: 559-788-1200
Practice Fax: 559-713-3717

1861537854 — MR. OMAR ISRAEL LOPEZ ASW
Practice Location Address:

1055 W HENDERSON AVE STE 2
PORTERVILLE, CA
93257-1490

Practice Phone: 559-788-1200
Practice Fax: 559-749-9772

Directions to “COUNTY OF TULARE ” Practice Location

Language	Start Address	Practice Location

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