Spectrum Behavioral Health Llc
LBN: Spectrum Behavioral Health Llc
Spectrum Behavioral Health Llc is an health care organization with primary practice located at 1496 Bellevue St Suite 101, Green Bay WI 54311-4205. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Spectrum Behavioral Health Llc can be contacted via phone (920) 784-2644, or through Carmody, Linda A via phone (920) 784-2646.
Contact Information
Primary practice address
1496 Bellevue St Suite 101
Green Bay WI 54311-4205
Phone: (920) 784-2644
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | 4151-125 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 1826-33 | Wisconsin |
Profile Details
| NPI number | 1053718890 |
|---|---|
| LBN Legal business name | Spectrum Behavioral Health Llc |
| DBA Doing business as | |
| Authorized official | Carmody, Linda A MS, LPC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 21st, 2014 |
| Last updated | Jun 17th, 2015 - about 11 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 | 1053718890 | NPPES |
| Wisconsin | MEDICAID | 100043151 |
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