Counseling Connection Of Medford Llc in Medford - Adult Mental Health
Counseling Connection Of Medford Llc - NPI 1568659365
Counseling Connection Of Medford Llc is a Adult Mental Health in Medford, Wisconsin. Counseling Connection Of Medford Llc practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Counseling Connection Of Medford Llc is 1568659365. The last update date is 2008-10-09.
Counseling Connection Of Medford Llc's current location address is 123 W State St, Medford, Wisconsin. You can contact this provider via phone number 7157484312 and fax number 7157484407. The mailing address for Counseling Connection Of Medford Llc is 123 W State St, Medford, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Counseling Connection Of Medford Llc |
|---|---|
| Address | 123 W State St, Medford, Wisconsin |
| Phone Number | 7157484312 |
| Fax Number | 7157484407 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER AND |
|---|---|
| Authorized Official Name | Schultz J. Kelly |
| Credentials | L.P.C AND |
| Telephone Number | 7157484312 |
NPI Number Detail
| NPI Number | 1568659365 |
|---|---|
| Provider Enumeration Date | 2007-09-26 |
| Last Updated Date | 2008-10-09 |
Provider Mailing Address Detail
| Address | 123 W State St |
|---|---|
| City | Medford |
| State | Wisconsin (WI) |
| Post Code | 544511772 |
| Phone Number | 7157484312 |
| Fax Number | 7157484407 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Mental Health |
|---|---|
| Taxonomy | 261Qm0850X |
| Licence No | 3054-125 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43576100 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Counseling Connection Of Medford Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Counseling Connection Of Medford Llc has been assigned the NPI (National Provider Identifier) 1568659365. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Counseling Connection Of Medford Llc is physically located?
The Counseling Connection Of Medford Llc is situated at the following address: 123 W State St, Medford, WI 544511772.
What is the Counseling Connection Of Medford Llc's specialty and taxonomy code?
The Counseling Connection Of Medford Llc's specialty is Adult Mental Health, and the corresponding taxonomy code is 261Qm0850X.
On what date did Counseling Connection Of Medford Llc receive its 1568659365 assignment from the Centers for Medicare & Medicaid Services?
The Counseling Connection Of Medford Llc was assigned its 1568659365 on 2007-09-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Counseling Connection Of Medford Llc last refreshed?
The information related to the Counseling Connection Of Medford Llc, including its address, specialty, and other relevant details, was last updated on 2008-10-09.