Healthcare Provider Details

I. General information

NPI: 1609667013
Provider Name (Legal Business Name): ALYZION PSYCHIATRIC CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5553 W WATERFORD LN STE A
APPLETON WI
54913-8468
US

IV. Provider business mailing address

5553 W WATERFORD LN STE A
APPLETON WI
54913-8468
US

V. Phone/Fax

Practice location:
  • Phone: 469-530-4932
  • Fax:
Mailing address:
  • Phone: 469-530-4932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. BAFFOUR KOFI GYAMFI
Title or Position: CEO
Credential: DNP-PMHNP
Phone: 469-530-4932