Counseling Connection Of Medford Llc

LBN: Counseling Connection Of Medford Llc
Counseling Connection Of Medford Llc is an health care organization with primary practice located at 123 W State St Suite #4, Medford WI 54451-1772. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Counseling Connection Of Medford Llc can be contacted via phone (715) 748-4312, or through Schultz, Kelly J. via phone (715) 748-4312.

Contact Information

Primary practice address
123 W State St Suite #4 Medford WI 54451-1772
Phone: (715) 748-4312
Fax: (715) 748-4407
Website:
Map and Directions
Authorized official contact:
Name: Schultz, Kelly J. L.P.C AND SAC
Phone: (715) 748-4312

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 3054-125 Wisconsin

Profile Details

NPI number 1568659365
LBN Legal business name Counseling Connection Of Medford Llc
DBA Doing business as
Authorized official Schultz, Kelly J. L.P.C AND SAC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2007
Last updated Oct 9th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568659365 NPPES
Wisconsin MEDICAID 43576100

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