| St. Vincent Hospital - Libertas Of Shawano | |
|
1300 E Green Bay St Shawano WI 54166-2210 | |
| (715) 201-0870 | |
| Not Available |
| Full Name | St. Vincent Hospital - Libertas Of Shawano |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1300 E Green Bay St, Shawano, Wisconsin |
| Authorized Official Name and Position | Brian Charlier (PRESIDENT/CEO) |
| Authorized Official Contact | 9206761148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Vincent Hospital - Libertas Of Shawano Po Box 13508 Green Bay WI 54307-3508 Ph: (920) 433-8044 | St. Vincent Hospital - Libertas Of Shawano 1300 E Green Bay St Shawano WI 54166-2210 Ph: (715) 201-0870 |
| NPI Number | 1063075018 |
|---|---|
| Provider Enumeration Date | 04/16/2019 |
| Last Update Date | 12/23/2021 |
| Certification Date | 12/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063075018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Synergy Counseling Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 East Green Bay St., Suite 191, Shawano, WI 54166 Phone: 715-526-5466 Fax: 715-526-5545 | |
Bridge The Gap, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 E Green Bay St, Suite 111, Shawano, WI 54166 Phone: 715-526-3791 Fax: 715-526-5537 | |
Be Well Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 420 E Green Bay St, Suite 107, Shawano, WI 54166 Phone: 715-853-8953 Fax: 715-201-0395 | |
Strive Behavioral Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1542 Industrial Dr, Shawano, WI 54166 Phone: 920-209-3166 | |
King Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1488 E Green Bay St, Shawano, WI 54166 Phone: 715-524-5355 | |
Shawano County Dept Of Human Services-lakeland Center Crisis Svcs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Lakeland Rd, Shawano, WI 54166 Phone: 715-526-4700 Fax: 715-526-5542 |