Affiliated Counseling Center Llc in Beaver Dam - Psychiatry
Affiliated Counseling Center Llc - NPI 1164568879
Affiliated Counseling Center Llc is a Psychiatry in Beaver Dam, Wisconsin. Affiliated Counseling Center Llc practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Affiliated Counseling Center Llc is 1164568879. The last update date is 2020-08-22.
Affiliated Counseling Center Llc's current location address is 108 N Lincoln Avenue, Beaver Dam, Wisconsin. You can contact this provider via phone number 9208878751 and fax number 9208873977. The mailing address for Affiliated Counseling Center Llc is 108 N Lincoln Avenue, Beaver Dam, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Affiliated Counseling Center Llc |
|---|---|
| Address | 108 N Lincoln Avenue, Beaver Dam, Wisconsin |
| Phone Number | 9208878751 |
| Fax Number | 9208873977 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Schwefel Massie L Sandra |
| Credentials | RN LCSW |
| Telephone Number | 9208878751 |
NPI Number Detail
| NPI Number | 1164568879 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 108 N Lincoln Avenue |
|---|---|
| City | Beaver Dam |
| State | Wisconsin (WI) |
| Post Code | 53916 |
| Phone Number | 9208878751 |
| Fax Number | 9208873977 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 1018 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42187100 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Affiliated Counseling Center Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Affiliated Counseling Center Llc has been assigned the NPI (National Provider Identifier) 1164568879. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Affiliated Counseling Center Llc is physically located?
The Affiliated Counseling Center Llc is situated at the following address: 108 N Lincoln Avenue, Beaver Dam, WI 53916.
What is the Affiliated Counseling Center Llc's area of specialization and corresponding taxonomy classification?
The Affiliated Counseling Center Llc's specialty field is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their specialties.
On what date did the Affiliated Counseling Center Llc receive its 1164568879 assignment from the Centers for Medicare & Medicaid Services?
The Affiliated Counseling Center Llc was assigned its 1164568879 by the Centers for Medicare & Medicaid Services on 2007-01-29.
When was the Affiliated Counseling Center Llc's information last updated?
The Affiliated Counseling Center Llc's information was last updated on 2020-08-22.