Inner Awakenings Diagnostic And Counseling Clinic
LBN: Inner Awakenings Diagnostic And Counseling Clinic
Inner Awakenings Diagnostic And Counseling Clinic is an health care organization with primary practice located at 436 Oakton Ave , Pewaukee WI 53072-3542. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental 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.
Inner Awakenings Diagnostic And Counseling Clinic can be contacted via phone (262) 691-2581, or through Ford, Melissa A via phone (262) 691-2581.
Contact Information
Primary practice address
436 Oakton Ave
Pewaukee WI 53072-3542
Phone: (262) 691-2581
Fax: (262) 691-2761
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | HFS61.91 | Wisconsin |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | HFS61.91 | Wisconsin |
Profile Details
| NPI number | 1679788103 |
|---|---|
| LBN Legal business name | Inner Awakenings Diagnostic And Counseling Clinic |
| DBA Doing business as | |
| Authorized official | Ford, Melissa A MS,LPC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Feb 19th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679788103 | NPPES |
| Wisconsin | MEDICAID | 42226000 |
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