Advantage Behavioral Healthcare, Llc

LBN: Aadvantage Behavioral Healthcare, Llc
Advantage Behavioral Healthcare, Llc is an health care organization with primary practice located at 125 E Pine St , Lake Mills WI 53551-1103. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, 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. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Aadvantage Behavioral Healthcare, Llc can be contacted via phone (608) 843-4555, or through Buss, Maureen Gale via phone (608) 843-4555.

Contact Information

Primary practice address
125 E Pine St Lake Mills WI 53551-1103
Phone: (608) 843-4555
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Buss, Maureen Gale
Phone: (608) 843-4555

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6647-123 Wisconsin
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 2498 Wisconsin
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 6647-123 Wisconsin
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 6647-123 Wisconsin

Profile Details

NPI number 1669602488
LBN Legal business name Aadvantage Behavioral Healthcare, Llc
DBA Doing business as Advantage Behavioral Healthcare, Llc
Authorized official Buss, Maureen Gale
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2009
Last updated Jul 15th, 2009 - about 16 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 1669602488 NPPES
Wisconsin MEDICAID 42236300

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