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Northwest Journey - Ellsworth
Adolescent and Children Mental Health Clinic/Center in Ellsworth, Wisconsin
NPI 1306965033

Northwest Journey - Ellsworth is an Adolescent and Children Mental Health Clinic/Center based in Ellsworth, WI and is specialized in Adolescent and Children Mental Health. Northwest Journey - Ellsworth practices in Ellsworth, WI. The NPI Number for Northwest Journey - Ellsworth is 1306965033 and holds a License No. 2326 (Wisconsin).

The current practice location address for Northwest Journey - Ellsworth is N6096 530Th St, Ellsworth, WI and can be reached out via phone at 715-273-0203 and via fax at 715-273-0344.

Location: N6096 530Th St, Ellsworth, WI, 54011-5107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306965033
Provider Name
Northwest Journey - Ellsworth
Credential
Provider Entity Type
Organization
Address
N6096 530Th St, Ellsworth, WI, 54011-5107
Phone Number
715-273-0203
Fax Number
715-273-0344
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43006700 05 WI
7H956NO 01 MN BCBS OF MN
42626 01 MN HEALTH PARTNERS
1306965033 01 WI HUMANA
85575 01 MN PREFERRED ONE
1306965033 01 WI VALUE OPTIONS
institution
Provider Business Practice Location Address Details
Address
N6096 530Th St
City
Ellsworth
State
Wisconsin
Zip
54011-5107
Phone Number
715-273-0203
Fax Number
715-273-0344
person
Provider Business Mailing Address Details
Address
N6096 530Th St
City
Ellsworth
State
Wisconsin
Zip
54011-5107
Phone Number
715-273-0203
Fax Number
715-273-0344
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
2326 (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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