COUNSELING & DEVELOPMENT CENTER NPI 1760524854

NPI Information

NPI: 1760524854
Provider Name: COUNSELING & DEVELOPMENT CENTER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
171 CHESTNUT ST
PHILLIPS, WI
ZIP 54555
Phone: (715) 339-3048
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COUNSELING & DEVELOPMENT CENTER is a mental health counselor in Phillips, WI. COUNSELING & DEVELOPMENT CENTER NPI is 1760524854. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

171 CHESTNUT ST
PHILLIPS, WI
ZIP 54555-313
Phone: (715) 339-3048
Fax: (715) 339-2436

The provider's authorized official is Julie Seidl .
The authorized official title is Financial Manager and has the following contact phone number (715) 339-3048.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 12/11/2009.

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	101YM0800X	Counselor	Mental Health	1244	WISCONSIN	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	42141300	MEDICAID	WISCONSIN
2	000084299	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN	MEDICARE
3	3931356642010	OTHER	WISCONSIN	BLUE CROSS BLUE SHIEL

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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