Associated Counseling And Recovery Center Llc in Fond Du Lac - Mental Health (including Community Mental Health Center)

Associated Counseling And Recovery Center Llc - NPI 1487712519

Associated Counseling And Recovery Center Llc is a Mental Health (including Community Mental Health Center) in Fond Du Lac, Wisconsin. Associated Counseling And Recovery Center Llc practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Associated Counseling And Recovery Center Llc is 1487712519. The last update date is 2010-11-29.

Associated Counseling And Recovery Center Llc's current location address is 551 W Johnson St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209070097 and fax number 9209070109. The mailing address for Associated Counseling And Recovery Center Llc is 551 W Johnson St, Fond Du Lac, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Associated Counseling And Recovery Center Llc
Address 551 W Johnson St, Fond Du Lac, Wisconsin
Phone Number 9209070097
Fax Number 9209070109
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CLINIC DIR
Authorized Official Name Pollard A Judith
Credentials MSW LCSW
Telephone Number 9209070097

NPI Number Detail

NPI Number 1487712519
Provider Enumeration Date 2006-12-04
Last Updated Date 2010-11-29

Provider Mailing Address Detail

Address 551 W Johnson St
City Fond Du Lac
State Wisconsin (WI)
Post Code 54935
Phone Number 9209070097
Fax Number 9209070109

Provider's Primary Taxonomy Detail

Speciality Mental Health (including Community Mental Health Center)
Taxonomy 261Qm0801X
Licence No 2060
Definition:
Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
42209700 WI --

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FAQs about Associated Counseling And Recovery Center Llc

What is the unique 10-digit identification code issued to Associated Counseling And Recovery Center Llc by the Centers for Medicare & Medicaid Services?

The Associated Counseling And Recovery Center Llc has been assigned the NPI (National Provider Identifier) 1487712519 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Associated Counseling And Recovery Center Llc's facilities are geographically located?

The facilities of Associated Counseling And Recovery Center Llc are physically situated at the following location: 551 W Johnson St, Fond Du Lac, WI, 54935.

What is the Associated Counseling And Recovery Center Llc's specialty and taxonomy code?

The Associated Counseling And Recovery Center Llc's specialty is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code is 261Qm0801X.

On what date did the Centers for Medicare & Medicaid Services assign the 1487712519 to Associated Counseling And Recovery Center Llc?

The Centers for Medicare & Medicaid Services assigned the 1487712519 to Associated Counseling And Recovery Center Llc on 2006-12-04.

As of what date were the details related to Associated Counseling And Recovery Center Llc most recently updated or revised?

The information pertaining to Associated Counseling And Recovery Center Llc, including its address, specialty, and other relevant details, was last updated or revised on 2010-11-29.

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