Racine Psychological Services, Inc. in Racine - Adult Mental Health
Racine Psychological Services, Inc. - NPI 1275586323
Racine Psychological Services, Inc. is a Adult Mental Health in Racine, Wisconsin. Racine Psychological Services, Inc. practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Racine Psychological Services, Inc. is 1275586323. The last update date is 2008-04-20.
Racine Psychological Services, Inc.'s current location address is 840 Lake Ave, Racine, Wisconsin. You can contact this provider via phone number 2626348688 and fax number 2626347547. The mailing address for Racine Psychological Services, Inc. is 840 Lake Ave, Racine, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Racine Psychological Services, Inc. |
|---|---|
| Address | 840 Lake Ave, Racine, Wisconsin |
| Phone Number | 2626348688 |
| Fax Number | 2626347547 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Whitmore Mary Jane |
| Credentials | LCSW, CSAC |
| Telephone Number | 2626348688 |
NPI Number Detail
| NPI Number | 1275586323 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 840 Lake Ave |
|---|---|
| City | Racine |
| State | Wisconsin (WI) |
| Post Code | 534031566 |
| Phone Number | 2626348688 |
| Fax Number | 2626347547 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Mental Health |
|---|---|
| Taxonomy | 261Qm0850X |
| Licence No | 2220 |
|
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 |
|---|---|---|---|
| 42216900 | WI | -- |
Post Comment/ Review Below
Could you provide the complete address where Racine Psychological Services, Inc. is physically located?
The Racine Psychological Services, Inc. is situated at the following address: 840 Lake Ave, Racine, WI 534031566.
Could you please share the complete physical location address where Racine Psychological Services, Inc.'s facilities are situated?
The facilities of Racine Psychological Services, Inc. are physically located at the following address: 840 Lake Ave, Racine, WI, 534031566.
On what date did the Racine Psychological Services, Inc. receive the assignment of its 1275586323 from the Centers for Medicare & Medicaid Services?
The Racine Psychological Services, Inc. was issued its 1275586323 by the Centers for Medicare & Medicaid Services on 2006-05-18.
When was the information regarding Racine Psychological Services, Inc. most recently updated?
The details pertaining to the Racine Psychological Services, Inc., including its address, specialty, and other relevant information, were last refreshed on 2008-04-20.
As of what date was the information pertaining to Racine Psychological Services, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Racine Psychological Services, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-20.
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