Spirited Psychological Services Llc

LBN: Spirited Psychological Services Llc
Spirited Psychological Services Llc is an health care organization with primary practice located at 376 Violet Cir , Grantsburg WI 54840-8564. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Managed Care Organizations / Point of Service. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Spirited Psychological Services Llc can be contacted via phone (612) 600-8431, or through Bonander, Clarence Leonard via phone (612) 600-8431.

Contact Information

Primary practice address
376 Violet Cir Grantsburg WI 54840-8564
Phone: (612) 600-8431
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bonander, Clarence Leonard LP
Phone: (612) 600-8431

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1780234955
LBN Legal business name Spirited Psychological Services Llc
DBA Doing business as
Authorized official Bonander, Clarence Leonard LP
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2019
Last updated Sep 18th, 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.

Request for update

Popular Providers