Behavioral Health Clinic Of Wausau

LBN: Behavioral Health Clinic, Llc
Behavioral Health Clinic Of Wausau is an health care organization with primary practice located at 630 S 36Th Ave , Wausau WI 54401-3930. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Behavioral Health Clinic, Llc can be contacted via phone (715) 842-9500, or through Fancher, Charity Dawn via phone (715) 842-9500.

Contact Information

Primary practice address
630 S 36Th Ave Wausau WI 54401-3930
Phone: (715) 842-9500
Fax: (715) 848-0425
Website:
Map and Directions
Authorized official contact:
Name: Fancher, Charity Dawn
Phone: (715) 842-9500

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2632-057 Wisconsin
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1831442359
LBN Legal business name Behavioral Health Clinic, Llc
DBA Doing business as Behavioral Health Clinic Of Wausau
Authorized official Fancher, Charity Dawn
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2012
Last updated Jun 10th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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