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CLINICAL SERVICES NPI 1578111498


NPI Information

NPI: 1578111498
Provider Name: CLINICAL SERVICES

Doing Business As: CLINICAL SERVICES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
420 3RD ST S
WISCONSIN RAPIDS, WI
ZIP 54494
Phone: (715) 712-1370
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CLINICAL SERVICES is a community behavioral health in Wisconsin Rapids, WI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CLINICAL SERVICES NPI is 1578111498. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clinical Services.

The provider's business location address is:

420 3RD ST S
WISCONSIN RAPIDS, WI
ZIP 54494-350
Phone: (715) 712-1370
Fax: (715) 712-1341

The provider's authorized official is Julie Sigler Edmundson .
The authorized official title is Owner and has the following contact phone number (715) 712-1370.

The enumeration date for this NPI number is 9/4/2019 and was last updated on 12/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3103TC0700XPsychologistClinicalNo
41041C0700XSocial WorkerClinicalNo
5251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11578111498OTHERWISCONSINNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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