| Envision Adhd, S.c. | |
|
1045 W Glen Oaks Ln Ste 205 Mequon WI 53092-3467 | |
| (414) 909-2343 | |
| (888) 866-4665 |
| Full Name | Envision Adhd, S.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1045 W Glen Oaks Ln Ste 205, Mequon, Wisconsin |
| Authorized Official Name and Position | Jacob M Behrens (OWNER) |
| Authorized Official Contact | 4149092343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Adhd, S.c. 1045 W Glen Oaks Ln Ste 205 Mequon WI 53092-3467 Ph: (414) 909-2343 | Envision Adhd, S.c. 1045 W Glen Oaks Ln Ste 205 Mequon WI 53092-3467 Ph: (414) 909-2343 |
| NPI Number | 1841739513 |
|---|---|
| Provider Enumeration Date | 02/15/2017 |
| Last Update Date | 10/14/2020 |
| Certification Date | 10/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841739513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 55027-20 (Wisconsin) | Primary |
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