FENNIMORE HEALING ARTS LLC NPI 1881024404

NPI Information

  • NPI: 1881024404
  • Provider Name: FENNIMORE HEALING ARTS, LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 770 LINCOLN AVE
    SUITE 2
    FENNIMORE, WI
    ZIP 53809
  • Phone: (608) 572-3494

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NPI Details

FENNIMORE HEALING ARTS, LLC is a community behavioral health in Fennimore, WI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. FENNIMORE HEALING ARTS, LLC NPI is 1881024404. The provider is registered as an organization entity type.

The provider's business location address is:

770 LINCOLN AVE
SUITE 2
FENNIMORE, WI
ZIP 53809-562
Phone: (608) 572-3494
Fax: (608) 822-3812

The provider's authorized official is Rita Lease .
The authorized official title is Nurse Practioner and has the following contact phone number (608) 572-3494.

The enumeration date for this NPI number is 11/18/2013 and was last updated on 3/31/2016.

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
1251S00000XCommunity/Behavioral Health4062-33WISCONSINYes

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
11215243852MEDICAIDWISCONSIN
2849190006OTHERWISCONSINMEDICARE PTAN

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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