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General NPI Number Information
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NPI Number | 1881437754
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Entity Type | Organization
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Legal Business Name | BAY AREA BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 1150 SPRINGHURST DR STE 102
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City | GREEN BAY
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State | WI
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Zip | 54304-5950
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Country | US
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Telephone | 920-393-1304
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Fax | 920-338-8181
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Provider Business Mailing Address
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Address Line | 1150 SPRINGHURST DR STE 102
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City | GREEN BAY
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State | WI
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Zip | 54304-5950
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Country | US
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Telephone | 920-393-1304
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Fax | 920-383-8181
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Authorized Official
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Title or Position | OWNER/CLINICAL THERAPIST
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Name | RISA LYNN JANOWSKI
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Credential | MS, LPC
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Telephone | 920-615-6951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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