| Be Child And Adolescent Mental Health Llc | |
|
1309 S Oneida St Appleton WI 54915-1351 | |
| (920) 903-8841 | |
| Not Available |
| Full Name | Be Child And Adolescent Mental Health Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 1309 S Oneida St, Appleton, Wisconsin |
| Authorized Official Name and Position | Carey Sorenson (OWNER) |
| Authorized Official Contact | 9209038841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Be Child And Adolescent Mental Health Llc 1309 S Oneida St Appleton WI 54915-1351 Ph: (920) 903-8841 | Be Child And Adolescent Mental Health Llc 1309 S Oneida St Appleton WI 54915-1351 Ph: (920) 903-8841 |
| NPI Number | 1003311556 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 04/18/2024 |
| Certification Date | 07/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003311556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 3407-57 (Wisconsin) | Secondary |
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