Jackson County Dhhs Behavioral Health Clinic | |
421 County Road R Black River Falls WI 54615-5129 | |
(715) 284-4301 | |
Not Available |
Full Name | Jackson County Dhhs Behavioral Health Clinic |
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Speciality | Clinic/Center |
Location | 421 County Road R, Black River Falls, Wisconsin |
Authorized Official Name and Position | Pam Taylor (BEHAVIORAL HEALTH SPECIALIST) |
Authorized Official Contact | 7152844301 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jackson County Dhhs Behavioral Health Clinic 421 County Road R Black River Falls WI 54615-5129 Ph: (715) 284-4301 | Jackson County Dhhs Behavioral Health Clinic 421 County Road R Black River Falls WI 54615-5129 Ph: (715) 284-4301 |
NPI Number | 1801114632 |
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Provider Enumeration Date | 05/04/2010 |
Last Update Date | 08/20/2019 |
Medicare PECOS PAC ID | 7012996317 |
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Medicare Enrollment ID | O20230726002261 |
Identifier | Type | State | Issuer |
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1801114632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Jessica Stinson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689363582 PECOS PAC ID: 4486015294 Enrollment ID: I20230726002396 |
Provider Name | Karla K. Dunlap |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1609383306 PECOS PAC ID: 9032551429 Enrollment ID: I20240530003499 |
Jackson County Department Of Health & Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 County Road R, Black River Falls, WI 54615 Phone: 715-284-4301 Fax: 715-284-7713 | |
Family & Children's Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 County Road R, Black River Falls, WI 54615 Phone: 715-284-9477 Fax: 715-284-5547 | |
Northwest Journey - Black River Falls Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: N6643 County Road A, Black River Falls, WI 54615 Phone: 715-284-1100 Fax: 715-284-1145 | |
Cat Confidential Authentic Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 E Main St, Black River Falls, WI 54615 Phone: 920-791-3042 | |
Garson Growth & Counseling Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 54 N 1st St, Black River Falls, WI 54615 Phone: 715-284-0361 Fax: 715-333-5007 | |
Family & Children's Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 County Road R, Black River Falls, WI 54615 Phone: 715-284-9477 Fax: 715-284-5547 |