Professional Services Group, Inc.

LBN: Professional Services Group, Inc.
Professional Services Group, Inc. is an health care organization with primary practice located at 1126 S 70Th St Suite S507, West Allis WI 53214-3151. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Professional Services Group, Inc. can be contacted via phone (414) 727-2789, or through Wolf, Brian A. via phone (262) 652-2406.

Contact Information

Primary practice address
1126 S 70Th St Suite S507 West Allis WI 53214-3151
Phone: (414) 727-2789
Fax: (414) 476-8695
Website:
Map and Directions
Authorized official contact:
Name: Wolf, Brian A. PHD.
Phone: (262) 652-2406

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2365 Wisconsin

Profile Details

NPI number 1396821005
LBN Legal business name Professional Services Group, Inc.
DBA Doing business as
Authorized official Wolf, Brian A. PHD.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Jun 30th, 2008 - about 18 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 1396821005 NPPES
Wisconsin MEDICAID 42235000

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