PINE VALLEY INTEGRATED SERVICES LLC NPI 1013375104

NPI Information

  • NPI: 1013375104
  • Provider Name: PINE VALLEY INTEGRATED SERVICES LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Other Name: PINE VALLEY SERVICES
  • Address: 124 GRAYSIDE AVE
    MAUSTON, WI
    ZIP 53948
  • Phone: (608) 847-7575

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NPI Details

PINE VALLEY INTEGRATED SERVICES LLC is a community behavioral health in Mauston, 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. PINE VALLEY INTEGRATED SERVICES LLC NPI is 1013375104. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Pine Valley Services.

The provider's business location address is:

124 GRAYSIDE AVE
MAUSTON, WI
ZIP 53948-913
Phone: (608) 847-7575
Fax: (608) 847-3096

The provider's authorized official is Jessica Schulz .
The authorized official title is Ceo / Owner Member Llc and has the following contact phone number (608) 847-7575.

The enumeration date for this NPI number is 2/3/2016 and was last updated on 8/28/2023.

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
11041C0700XSocial WorkerClinicalNo
2251S00000XCommunity/Behavioral HealthYes

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: 3/30/2025

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