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DRIFTLESS RECOVERY SERVICES INC. NPI 1407271695


NPI Information

NPI: 1407271695
Provider Name: DRIFTLESS RECOVERY SERVICES, INC.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
444 MAIN ST
SUITE 301
LA CROSSE, WI
ZIP 54601
Phone: (608) 386-6154
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DRIFTLESS RECOVERY SERVICES, INC. is a psychiatry psychiatry neurology in La Crosse, WI. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DRIFTLESS RECOVERY SERVICES, INC. NPI is 1407271695. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

444 MAIN ST
SUITE 301
LA CROSSE, WI
ZIP 54601-261
Phone: (608) 386-6154

The provider's authorized official is Brett A Knutson .
The authorized official title is President/co-founder and has the following contact phone number (608) 386-6154.

The enumeration date for this NPI number is 2/25/2014 and was last updated on 3/25/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)12863-130WISCONSINNo
2101YA0400XCounselorAddiction (Substance Use Disorder)16304-130WISCONSINNo
3101YM0800XCounselorMental Health1231-226WISCONSINNo
42084P0800XPsychiatry & NeurologyPsychiatry27182WISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11215147558OTHERNPI
2055508800MEDICAIDWISCONSIN
31093001703OTHERNPI
439330PLOTHERBCBS
5A93933MEDICARE UPIN
61992787725OTHERNPI
7260000192MEDICARE PIN

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: 4/28/2024

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