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Northwest Journey - Amery
Adolescent and Children Mental Health Clinic/Center in Amery, Wisconsin
NPI 1124145370

Northwest Journey - Amery is an Adolescent and Children Mental Health Clinic/Center based in Amery, WI and is specialized in Adolescent and Children Mental Health. Northwest Journey - Amery practices in Amery, WI. The NPI Number for Northwest Journey - Amery is 1124145370 and holds a License No. 2195 (Wisconsin).

The current practice location address for Northwest Journey - Amery is 1096 Apple Ave, Amery, WI and can be reached out via phone at 715-268-5404 and via fax at 715-268-6103.

Location: 1096 Apple Ave, Amery, WI, 54001-1707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124145370
Provider Name
Northwest Journey - Amery
Credential
Provider Entity Type
Organization
Address
1096 Apple Ave, Amery, WI, 54001-1707
Phone Number
715-268-5404
Fax Number
715-268-6103
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7H956NO 01 MN BCBS OF MN
42626 01 MN HEALTH PARTNERS
43005500 05 WI
85575 01 MN PREFERRED ONE
institution
Provider Business Practice Location Address Details
Address
1096 Apple Ave
City
Amery
State
Wisconsin
Zip
54001-1707
Phone Number
715-268-5404
Fax Number
715-268-6103
person
Provider Business Mailing Address Details
Address
1096 Apple Ave
City
Amery
State
Wisconsin
Zip
54001-1707
Phone Number
715-268-5404
Fax Number
715-268-6103
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
2195 (Wisconsin)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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