Diverse Clinical Services Associates, Inc.

LBN: Diverse Clinical Services Associates, Inc.
Diverse Clinical Services Associates, Inc. is an health care organization with primary practice located at 633 W Wisconsin Ave Suite 330, Milwaukee WI 53203-1918. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Counseling is the primary health care specialty. Diverse Clinical Services Associates, Inc. can be contacted via phone (414) 347-4063, or through Virella, Basilisa via phone (414) 347-7063.

Contact Information

Primary practice address
633 W Wisconsin Ave Suite 330 Milwaukee WI 53203-1918
Phone: (414) 347-4063
Fax: (414) 347-4075
Website:
Map and Directions
Authorized official contact:
Name: Virella, Basilisa PH.D.
Phone: (414) 347-7063

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 2692-123 Wisconsin
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 27318020 Wisconsin

Profile Details

NPI number 1528160314
LBN Legal business name Diverse Clinical Services Associates, Inc.
DBA Doing business as
Authorized official Virella, Basilisa PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2006
Last updated Aug 22nd, 2020 - about 4 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 1528160314 NPPES
Wisconsin MEDICAID 42206700
Wisconsin MEDICAID 39704500
Wisconsin MEDICAID 31786300

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