Goodman'S Behavioral Health Clinic, Llc in Reedsburg - Community/behavioral Health
Goodman'S Behavioral Health Clinic, Llc - NPI 1740458363
Goodman'S Behavioral Health Clinic, Llc is a Community/behavioral Health in Reedsburg, Wisconsin. Goodman'S Behavioral Health Clinic, Llc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Goodman'S Behavioral Health Clinic, Llc is 1740458363. The last update date is 2022-07-21.
Goodman'S Behavioral Health Clinic, Llc's current location address is 2213 E Main St, Reedsburg, Wisconsin. You can contact this provider via phone number 6087684545 and fax number 6087684646. The mailing address for Goodman'S Behavioral Health Clinic, Llc is 2213 E Main St, Reedsburg, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Goodman'S Behavioral Health Clinic, Llc |
|---|---|
| Address | 2213 E Main St, Reedsburg, Wisconsin |
| Phone Number | 6087684545 |
| Fax Number | 6087684646 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Goodman Gail Barbara |
| Credentials | MSSW, LCSW |
| Telephone Number | 6083937470 |
NPI Number Detail
| NPI Number | 1740458363 |
|---|---|
| Provider Enumeration Date | 2008-02-16 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2213 E Main St |
|---|---|
| City | Reedsburg |
| State | Wisconsin (WI) |
| Post Code | 539599439 |
| Phone Number | 6087684545 |
| Fax Number | 6087684646 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 1798-123 |
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Definition: 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 dis |
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What is the unique identification code assigned to Goodman'S Behavioral Health Clinic, Llc by the Centers for Medicare & Medicaid Services?
The Goodman'S Behavioral Health Clinic, Llc has been issued the NPI (National Provider Identifier) 1740458363. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Goodman'S Behavioral Health Clinic, Llc located?
The Goodman'S Behavioral Health Clinic, Llc is located at 2213 E Main St, Reedsburg, WI 539599439.
What is Goodman'S Behavioral Health Clinic, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Goodman'S Behavioral Health Clinic, Llc is Community/behavioral Health, and the taxonomy code that classifies this field of practice is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740458363 to Goodman'S Behavioral Health Clinic, Llc?
The Centers for Medicare & Medicaid Services assigned the 1740458363 to Goodman'S Behavioral Health Clinic, Llc on 2008-02-16.
As of what date were the details related to Goodman'S Behavioral Health Clinic, Llc most recently updated or revised?
The information pertaining to Goodman'S Behavioral Health Clinic, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.