The Kelley Clinic in Milwaukee - Mental Health (including Community Mental Health Center)

The Kelley Clinic - NPI 1265657704

The Kelley Clinic is a Mental Health (including Community Mental Health Center) in Milwaukee, Wisconsin. The Kelley Clinic practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for The Kelley Clinic is 1265657704. The last update date is 2008-04-20.

The Kelley Clinic's current location address is 1216 N Prospect Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4142719272 and fax number 4142711299. The mailing address for The Kelley Clinic is 1216 N Prospect Ave, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization The Kelley Clinic
Address 1216 N Prospect Ave, Milwaukee, Wisconsin
Phone Number 4142719272
Fax Number 4142711299
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Kelley Jane
Credentials LCSW
Telephone Number 4142719272

NPI Number Detail

NPI Number 1265657704
Provider Enumeration Date 2007-04-17
Last Updated Date 2008-04-20

Provider Mailing Address Detail

Address 1216 N Prospect Ave
City Milwaukee
State Wisconsin (WI)
Post Code 532023014
Phone Number 4142719272
Fax Number 4142711299

Provider's Primary Taxonomy Detail

Speciality Mental Health (including Community Mental Health Center)
Taxonomy 261Qm0801X
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
44264 WI MEDICARE NUMBER
281076 WI VALUEOPTIONS PROVIDER

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FAQs about The Kelley Clinic

What is the unique identification code assigned to The Kelley Clinic by the Centers for Medicare & Medicaid Services?

The The Kelley Clinic has been issued the NPI (National Provider Identifier) 1265657704. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of The Kelley Clinic?

The The Kelley Clinic is physically situated at 1216 N Prospect Ave, in the city of Milwaukee, state of WI, with the postal code 532023014.

What is The Kelley Clinic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for The Kelley Clinic is Mental Health (including Community Mental Health Center), and the taxonomy classification code that categorizes this area of expertise is 261Qm0801X.

When did the The Kelley Clinic receive its 1265657704?

The The Kelley Clinic was issued its 1265657704 on 2007-04-17, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to The Kelley Clinic last refreshed?

The information related to the The Kelley Clinic, including its address, specialty, and other relevant details, was last updated on 2008-04-20.

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