institution
Lakeside Family Therapy Services Ltd
Multi-Specialty Clinic/Center in Racine, Wisconsin
NPI 1407998719

Lakeside Family Therapy Services Ltd is a Multi-Specialty Clinic/Center based in Racine, WI and is specialized in Multi-Specialty. Lakeside Family Therapy Services Ltd practices in Racine, WI. The NPI Number for Lakeside Family Therapy Services Ltd is 1407998719 and holds a License No. (Wisconsin).

The current practice location address for Lakeside Family Therapy Services Ltd is 4810 Northwestern Ave, Racine, WI and can be reached out via phone at 262-637-9984 and via fax at 262-637-9995. You can also correspond with Lakeside Family Therapy Services Ltd through the mailing address at 4810 NORTHWESTERN AVE, RACINE, WI - 53406-1504 (mailing address contact number: 262-637-9984).

Location: 4810 Northwestern Ave, Racine, WI, 53406-1504
institution
Provider Profile Details
NPI Number
1407998719
Provider Name
Lakeside Family Therapy Services Ltd
Credential
Provider Entity Type
Organization
Address
4810 Northwestern Ave, Racine, WI, 53406-1504
Phone Number
262-637-9984
Fax Number
262-637-9995
Provider Enumeration Date
02/13/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42120700 05 WI
institution
Provider Business Practice Location Address Details
Address
4810 Northwestern Ave
City
State
Zip
53406
Phone Number
262-637-9984
Fax Number
262-637-9995
person
Provider Business Mailing Address Details
Address
4810 Northwestern Ave
City
State
Zip
53406-1504
Phone Number
262-637-9984
Fax Number
262-637-9995
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
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