ARBOR PLACE INC. NPI 1013458173

NPI Information

  • NPI: 1013458173
  • Provider Name: ARBOR PLACE, INC.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • CLIA Number: 52D2234500
  • Address: 4076 KOTHLOW AVE
    MENOMONIE, WI
    ZIP 54751
  • Phone: (715) 235-4537

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NPI Details

ARBOR PLACE, INC. is a mental health counselor in Menomonie, WI. ARBOR PLACE, INC. NPI is 1013458173. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4076 KOTHLOW AVE
MENOMONIE, WI
ZIP 54751-090
Phone: (715) 235-4537
Fax: (715) 235-4535

The provider's authorized official is Jill Gamez .
The authorized official title is Executive Director and has the following contact phone number (715) 235-4537.

The CLIA number assigned to this NPI record is 52D2234500 - other - residential d&a rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2017 and was last updated on 3/9/2017.

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
1101YM0800XCounselorMental Health1050WISCONSINYes

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
142148200MEDICAIDWISCONSIN

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: 11/21/2025

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