| Us 2 Behavioral Health Care Inc | |
|
4650 W Spencer St Appleton WI 54914-9106 | |
| (920) 903-1060 | |
| (920) 903-1060 |
| Full Name | Us 2 Behavioral Health Care Inc |
|---|---|
| Speciality | Counselor |
| Location | 4650 W Spencer St, Appleton, Wisconsin |
| Authorized Official Name and Position | Sheng B Lee Yang (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9208501490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Us 2 Behavioral Health Care Inc 4650 W Spencer St Appleton WI 54914-9106 Ph: (920) 903-1060 | Us 2 Behavioral Health Care Inc 4650 W Spencer St Appleton WI 54914-9106 Ph: (920) 903-1060 |
| NPI Number | 1083268635 |
|---|---|
| Provider Enumeration Date | 07/31/2019 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/09/2024 |
| Medicare PECOS PAC ID | 1557691151 |
|---|---|
| Medicare Enrollment ID | O20191024000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083268635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Sheng Boualong Lee Yang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649671629 PECOS PAC ID: 2466782065 Enrollment ID: I20191024000460 |
| Provider Name | Kinsey Beth Pierre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346735891 PECOS PAC ID: 7911338207 Enrollment ID: I20200521001252 |
| Provider Name | Trisha Ann Picard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235614371 PECOS PAC ID: 0648676759 Enrollment ID: I20210914003327 |
| Provider Name | Chloe Day Anderson Kemp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164077103 PECOS PAC ID: 6608273784 Enrollment ID: I20210916002963 |
| Provider Name | Mckenna Garvey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508484833 PECOS PAC ID: 7911398144 Enrollment ID: I20211227000155 |
| Provider Name | Isaac Theodore Kabacinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366060469 PECOS PAC ID: 3072981893 Enrollment ID: I20230411002399 |
| Provider Name | Morgan J Gald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215688098 PECOS PAC ID: 7618321670 Enrollment ID: I20230925001124 |
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