SPECTRUM HEALTHCARE LLC NPI 1083891592

NPI Information

NPI: 1083891592
Provider Name: SPECTRUM HEALTHCARE, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1661 N WATER ST
SUITE 301
MILWAUKEE, WI
ZIP 53202
Phone: (414) 273-1209
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SPECTRUM HEALTHCARE, LLC is a mental health counselor in Milwaukee, WI. SPECTRUM HEALTHCARE, LLC NPI is 1083891592. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1661 N WATER ST
SUITE 301
MILWAUKEE, WI
ZIP 53202-085
Phone: (414) 273-1209
Fax: (414) 273-1424

The provider's authorized official is Selahattin S Kurter .
The authorized official title is President and has the following contact phone number (414) 273-1209.

The enumeration date for this NPI number is 1/28/2008 and was last updated on 10/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	47803-020	WISCONSIN	No
2	2084A0401X	Psychiatry & Neurology	Addiction Medicine	47803-020	WISCONSIN	No
3	101YM0800X	Counselor	Mental Health	957-123	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000001686	MEDICARE PIN	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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