CHILD & ADOLESCENT PSYCHIATRY CONSULTING LLC NPI 1619225232

NPI Information

NPI: 1619225232
Provider Name: CHILD & ADOLESCENT PSYCHIATRY CONSULTING LLC
Classification: Clinic/Center - 261QM0855X
Specialization: Adolescent and Children Mental Health
Entity Type: Organization
Doing Business As: EMPOWER MENTAL HEALTH CLINIC
Address: 2001 S CENTRAL AVE STE A
MARSHFIELD, WI
ZIP 54449
Phone: (715) 384-2818

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NPI Details

CHILD & ADOLESCENT PSYCHIATRY CONSULTING LLC is an adolescent and children mental health clinic center in Marshfield, WI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. CHILD & ADOLESCENT PSYCHIATRY CONSULTING LLC NPI is 1619225232. The provider is registered as an organization entity type.
The provider Is Doing Business As Empower Mental Health Clinic.

The provider's business location address is:

2001 S CENTRAL AVE STE A
MARSHFIELD, WI
ZIP 54449-973
Phone: (715) 384-2818
Fax: (715) 384-2724

The provider's authorized official is Genessa L Antoniewicz .
The authorized official title is Clinical Director and has the following contact phone number (612) 327-7015.

The enumeration date for this NPI number is 8/29/2012 and was last updated on 12/22/2020.

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	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	Yes

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: 3/30/2025

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