| Dominion Behavioral Health Services, Llc | |
|
W132n6303 Marach Rd Menomonee Falls WI 53051-6022 | |
| (262) 751-7507 | |
| (262) 252-7567 |
| Full Name | Dominion Behavioral Health Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | W132n6303 Marach Rd, Menomonee Falls, Wisconsin |
| Authorized Official Name and Position | Francine Dixon (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 2627517507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominion Behavioral Health Services, Llc W132n6303 Marach Rd Menomonee Falls WI 53051-6022 Ph: (262) 751-7507 | Dominion Behavioral Health Services, Llc W132n6303 Marach Rd Menomonee Falls WI 53051-6022 Ph: (262) 751-7507 |
| NPI Number | 1184405565 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184405565 | NPI | - | NPPES |
| 1841471844 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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