| Children's Behavioral Health Services, Llp | |
|
6021 56th Ave Suite 4 Kenosha WI 53142-3087 | |
| (262) 657-5026 | |
| (262) 657-5663 |
| Full Name | Children's Behavioral Health Services, Llp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6021 56th Ave, Kenosha, Wisconsin |
| Authorized Official Name and Position | Theresa Ailene Bruner-leydens (PARTNER/LICENSED PROFESSIONAL COUNS) |
| Authorized Official Contact | 2626575026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Behavioral Health Services, Llp 6021 56th Ave Ste 4 Kenosha WI 53142-3087 Ph: (262) 657-5026 | Children's Behavioral Health Services, Llp 6021 56th Ave Suite 4 Kenosha WI 53142-3087 Ph: (262) 657-5026 |
| NPI Number | 1326217233 |
|---|---|
| Provider Enumeration Date | 02/25/2008 |
| Last Update Date | 02/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326217233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 8137-125 (Wisconsin) | Primary |
| 251S00000X | Community/behavioral Health | 3146-125 (Wisconsin) | Secondary |
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