Pine Counseling Inc.

LBN: Pine Counseling Inc.
Pine Counseling Inc. is an health care organization with primary practice located at 204 S Orange St , Richland Center WI 53581-2170. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Pine Counseling Inc. can be contacted via phone (931) 982-4832, or through Kramer, Elijah Lake via phone (920) 285-0453.

Contact Information

Primary practice address
204 S Orange St Richland Center WI 53581-2170
Phone: (931) 982-4832
Fax: (608) 383-1480
Website:
Map and Directions
Authorized official contact:
Name: Kramer, Elijah Lake SAC-IT
Phone: (920) 285-0453

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1366004384
LBN Legal business name Pine Counseling Inc.
DBA Doing business as
Authorized official Kramer, Elijah Lake SAC-IT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2019
Last updated Dec 8th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366004384 NPPES
Wisconsin MEDICAID 1184006652

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