Oregon Mental Health Svs | |
602 Pleasant Oak Dr Oregon WI 53575 | |
(608) 835-5050 | |
(608) 835-5050 |
Full Name | Oregon Mental Health Svs |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 602 Pleasant Oak Dr, Oregon, Wisconsin |
Authorized Official Name and Position | Mary Joan Sella (CLINICAL SOCIAL WORKER/CLINIC OWNER) |
Authorized Official Contact | 6088355050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Oregon Mental Health Svs 602 Pleasant Oak Dr Oregon WI 53575 Ph: (608) 835-5050 | Oregon Mental Health Svs 602 Pleasant Oak Dr Oregon WI 53575 Ph: (608) 835-5050 |
NPI Number | 1508940370 |
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Provider Enumeration Date | 10/25/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508940370 | NPI | - | NPPES |
2513 CERTIFICATE | Other | WI | MENTAL HEALTH OUTPUT |
42235500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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Holding Space Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 N Main St, Oregon, WI 53575 Phone: 608-212-2766 | |
Oregon Mental Health Services,llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 165 W Netherwood St Ste A, Oregon, WI 53575 Phone: 608-835-5050 Fax: 608-835-5010 | |
Oregon Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 Pleasant Oak Dr, Oregon, WI 53575 Phone: 608-835-5050 |