David Klimisch Lpc Inc

LBN: David Klimisch Lpc Inc
David Klimisch Lpc Inc is an health care organization with primary practice located at 6123 Green Bay Rd Ste 240 , Kenosha WI 53142-2927. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. David Klimisch Lpc Inc can be contacted via phone (262) 564-5305, or through Klimisch, David J. via phone (262) 564-5305.

Contact Information

Primary practice address
6123 Green Bay Rd Ste 240 Kenosha WI 53142-2927
Phone: (262) 564-5305
Fax: (262) 564-5306
Website:
Map and Directions
Authorized official contact:
Name: Klimisch, David J. Licensed Professional Counselor (LPC)
Phone: (262) 564-5305

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1790328763
LBN Legal business name David Klimisch Lpc Inc
DBA Doing business as
Authorized official Klimisch, David J. Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2019
Last updated Oct 23rd, 2019 - about 5 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 1790328763 NPPES
Wisconsin MEDICAID 1427544337

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