Ccp Clinic, Llc

LBN: Ccp Clinic, Llc
Ccp Clinic, Llc is an health care organization with primary practice located at 3301 Packerland Dr Ste B , De Pere WI 54115-9533. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Ccp Clinic, Llc can be contacted via phone (920) 234-9240, or through Geitner, Jaclyn via phone (651) 491-1346.

Contact Information

Primary practice address
3301 Packerland Dr Ste B De Pere WI 54115-9533
Phone: (920) 234-9240
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Geitner, Jaclyn MSW, LCSW
Phone: (651) 491-1346

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1396431714
LBN Legal business name Ccp Clinic, Llc
DBA Doing business as
Authorized official Geitner, Jaclyn MSW, LCSW
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2023
Last updated Apr 24th, 2023 - about 2 years 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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