BEHAVIORAL HEALTH CLINIC LLC NPI 1831442359

NPI Information

NPI: 1831442359
Provider Name: BEHAVIORAL HEALTH CLINIC, LLC

Former Legal Business Name: BEHAVIORAL HEALTH CLINIC OF WAUSAU

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

Specialization: Mental Health (Including Community Mental Health Center)

Address:
630 S 36TH AVE
WAUSAU, WI
ZIP 54401
Phone: (715) 842-9500
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BEHAVIORAL HEALTH CLINIC, LLC is a mental health (including community mental health center) clinic center in Wausau, WI. BEHAVIORAL HEALTH CLINIC, LLC NPI is 1831442359. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Behavioral Health Clinic Of Wausau.

The provider's business location address is:

630 S 36TH AVE
WAUSAU, WI
ZIP 54401-930
Phone: (715) 842-9500
Fax: (715) 848-0425

The provider's authorized official is Shannon C Schaefer .
The authorized official title is Member/owner and has the following contact phone number (715) 842-9500.

The enumeration date for this NPI number is 10/22/2012 and was last updated on 5/13/2020.

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	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	2632-057	WISCONSIN	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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: 11/14/2023

NPI Synchronization or Removal

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