| Holistic Behavioral Health Services Inc | |
|
8777 W Forest Home Ave Greenfield WI 53228-3421 | |
| (414) 231-3130 | |
| (414) 239-8544 |
| Full Name | Holistic Behavioral Health Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8777 W Forest Home Ave, Greenfield, Wisconsin |
| Authorized Official Name and Position | Sahr A Lebbie (CEO) |
| Authorized Official Contact | 4142313130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Behavioral Health Services Inc 8777 W Forest Home Ave Greenfield WI 53228-3421 Ph: (414) 231-3130 | Holistic Behavioral Health Services Inc 8777 W Forest Home Ave Greenfield WI 53228-3421 Ph: (414) 231-3130 |
| NPI Number | 1205512746 |
|---|---|
| Provider Enumeration Date | 06/27/2023 |
| Last Update Date | 06/27/2023 |
| Certification Date | 06/27/2023 |
| Medicare PECOS PAC ID | 5991167587 |
|---|---|
| Medicare Enrollment ID | O20230814003213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205512746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Stella M Mahaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255598140 PECOS PAC ID: 4284912858 Enrollment ID: I20161102001020 |
| Provider Name | Jessica Ramintho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528542511 PECOS PAC ID: 7911250436 Enrollment ID: I20181031001751 |
| Provider Name | Aryn Lea Stevningroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265002307 PECOS PAC ID: 7911395934 Enrollment ID: I20211025002063 |
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