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NPI Code Detail

MEDICARE: BAY AREA MENTAL HEALTH CENTER INC

MEDICARE: BAY AREA MENTAL HEALTH CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11080OTHERWIST CERT #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285734210
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAY AREA MENTAL HEALTH CENTER INC
Provider Business Mailing Address
First Line : 101 THOMPSON RD
Second Line :
City : WASHBURN
State : WI
Zip : 54891-4525
Country : US
Telephone Number : 715-373-2233
Fax Number : 715-373-5530
Provider Business Practice Location Address
First Line : 101 THOMPSON RD
Second Line :
City : WASHBURN
State : WI
Zip : 54891-4525
Country : US
Telephone Number : 715-373-2233
Fax Number : 715-373-5530
Authorized Official
Title or Position : CLINIC ADMINISTRATOR
Name : BARBARA J SNYDER
Credential : MSED LPC
Telephone Number : 715-373-2233
Provider Enumeration Date : 09/22/2006
Last Update Date : 08/10/2015

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Directions to “BAY AREA MENTAL HEALTH CENTER INC ” Practice Location

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