MENTAL HEALTH PARTNERS SC NPI 1750460929

NPI Information

NPI: 1750460929
Provider Name: MENTAL HEALTH PARTNERS, SC

Former Legal Business Name: MARRIAGE & FAMILY THERAPY CENTER, SC

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
3000 RIVERSIDE DR
SUITE 180
GREEN BAY, WI
ZIP 54301
Phone: (920) 632-7040
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MENTAL HEALTH PARTNERS, SC is an adult mental health clinic center in Green Bay, 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 adults. MENTAL HEALTH PARTNERS, SC NPI is 1750460929. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Marriage & Family Therapy Center, Sc.

The provider's business location address is:

3000 RIVERSIDE DR
SUITE 180
GREEN BAY, WI
ZIP 54301-653
Phone: (920) 632-7040
Fax: (920) 632-7262

The provider's authorized official is Kim L Slamp .
The authorized official title is Office Manager and has the following contact phone number (920) 632-7040.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 11/15/2010.

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	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
2	261QM0850X	Clinic/Center	Adult Mental Health			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	000007860	MEDICARE PIN	WISCONSIN
2	=========012	OTHER	WISCONSIN	BCBS

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

NPI Synchronization or Removal

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