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WISCONSIN LUTHERAN CHILD & FAMILY SERVICE INC NPI 1750475513


NPI Information

NPI: 1750475513
Provider Name: WISCONSIN LUTHERAN CHILD & FAMILY SERVICE, INC

Doing Business As: CHRISTIAN FAMILY SOLUTIONS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
4351 W COLLEGE AVE
SUITE 410
APPLETON, WI
ZIP 54914
Phone: (262) 345-5599
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WISCONSIN LUTHERAN CHILD & FAMILY SERVICE, INC is a mental health (including community mental health center) clinic center in Appleton, WI. WISCONSIN LUTHERAN CHILD & FAMILY SERVICE, INC NPI is 1750475513. The provider is registered as an organization entity type.
The provider Is Doing Business As Christian Family Solutions.

The provider's business location address is:

4351 W COLLEGE AVE
SUITE 410
APPLETON, WI
ZIP 54914-928
Phone: (262) 345-5599
Fax: (262) 345-5608

The provider's authorized official is Jennifer Beyer .
The authorized official title is Revenue Cycle Manager and has the following contact phone number (262) 735-4976.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 4/18/2023.


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
1261Q00000XClinic/CenterNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
142171800MEDICAIDWISCONSIN

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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