19Place

LBN: 19Place
19Place is an health care organization with primary practice located at 4039 N 19Th Pl , Milwaukee WI 53209-6806. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. 19Place can be contacted via phone (414) 630-4986, or through Mccollum, Dorothy Ree via phone (414) 630-4986.

Contact Information

Primary practice address
4039 N 19Th Pl Milwaukee WI 53209-6806
Phone: (414) 630-4986
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mccollum, Dorothy Ree Licensed Clinical Social Worker (LCSW)
Phone: (414) 630-4986

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8345-123 Wisconsin

Profile Details

NPI number 1538685854
LBN Legal business name 19Place
DBA Doing business as
Authorized official Mccollum, Dorothy Ree Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2017
Last updated Jul 21st, 2022 - 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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