Mickey Crothers, Ph.D., Llc

LBN: Mickey Crothers, Ph.D., Llc
Mickey Crothers, Ph.D., Llc is an health care organization with primary practice located at 4330 Golf Ter Suite 213-M, Eau Claire WI 54701-4683. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Mickey Crothers, Ph.D., Llc can be contacted via phone (715) 830-1400, or through Crothers, Marie K. (Mickey) via phone (715) 830-1400.

Contact Information

Primary practice address
4330 Golf Ter Suite 213-M Eau Claire WI 54701-4683
Phone: (715) 830-1400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crothers, Marie K. (Mickey) PH.D.
Phone: (715) 830-1400

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1467874990
LBN Legal business name Mickey Crothers, Ph.D., Llc
DBA Doing business as
Authorized official Crothers, Marie K. (Mickey) PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2014
Last updated Feb 18th, 2014 - about 12 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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