Kettle Moraine Counseling

LBN: Kettle Moraine Counseling Llc
Kettle Moraine Counseling is an health care organization with primary practice located at 400 W River Dr , West Bend WI 53090-1567. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Kettle Moraine Counseling Llc can be contacted via phone (262) 334-4340, or through Marshall, Devona Lynn via phone (262) 334-4340.

Contact Information

Primary practice address
400 W River Dr West Bend WI 53090-1567
Phone: (262) 334-4340
Fax: (262) 334-4341
Website:
Map and Directions
Authorized official contact:
Name: Marshall, Devona Lynn MS LPC NCC
Phone: (262) 334-4340

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 3514-125 Wisconsin
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1568790954
LBN Legal business name Kettle Moraine Counseling Llc
DBA Doing business as Kettle Moraine Counseling
Authorized official Marshall, Devona Lynn MS LPC NCC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 24th, 2009
Last updated Jan 14th, 2020 - about 6 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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