| Human Development Associates Of Lacrosse Llc | |
|
2920 East Ave S Suite 101 Lacrosse WI 54601-8282 | |
| (608) 784-8688 | |
| (608) 784-8684 |
| Full Name | Human Development Associates Of Lacrosse Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2920 East Ave S, Lacrosse, Wisconsin |
| Authorized Official Name and Position | Martin Kreuzer (CORPORATION MEMBER) |
| Authorized Official Contact | 6087848688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Human Development Associates Of Lacrosse Llc 2920 East Ave S Suite 101 Lacrosse WI 54601-8282 Ph: (608) 784-8688 | Human Development Associates Of Lacrosse Llc 2920 East Ave S Suite 101 Lacrosse WI 54601-8282 Ph: (608) 784-8688 |
| NPI Number | 1487790044 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487790044 | NPI | - | NPPES |
| 42125000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1425 (Wisconsin) | Primary |
Changes And Choices Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2350 South Avenue, Suite 102, Lacrosse, WI 54601 Phone: 608-787-6645 Fax: 608-787-6658 | |
Red Feather Therapy And Consulting, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2920 East Avenue South Suite 101, Red Feather Therapy And Consulting, Llc, Lacrosse, WI 54601 Phone: 608-784-8688 Fax: 608-784-8686 | |
Nystrom & Associates Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 201 Main St, Ste 500, Lacrosse, WI 54601 Phone: 651-379-1750 Fax: 651-628-0411 |