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Wisconsin Lutheran Child & Family Service, Inc
Adolescent and Children Mental Health Clinic/Center in Appleton, Wisconsin
NPI 1750475513

Wisconsin Lutheran Child & Family Service, Inc is an Adolescent and Children Mental Health Clinic/Center based in Germantown, WI and is specialized in Adolescent and Children Mental Health. Wisconsin Lutheran Child & Family Service, Inc practices in Appleton, WI. The NPI Number for Wisconsin Lutheran Child & Family Service, Inc is 1750475513 and holds a License No. (Wisconsin).

The current practice location address for Wisconsin Lutheran Child & Family Service, Inc is 4351 W College Ave, Appleton, WI and can be reached out via phone at 262-345-5599 and via fax at 262-345-5608. You can also correspond with Wisconsin Lutheran Child & Family Service, Inc through the mailing address at W175N11120 STONEWOOD DR, GERMANTOWN, WI - 53022-6511 (mailing address contact number: 800-438-1772).

Location: 4351 W College Ave, Appleton, WI, 53022-6511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750475513
Provider Name
Wisconsin Lutheran Child & Family Service, Inc
Credential
Provider Entity Type
Organization
Address
4351 W College Ave, Appleton, WI, 53022-6511
Phone Number
262-345-5599
Fax Number
262-345-5608
Provider Enumeration Date
10/03/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42171800 05 WI
institution
Provider Business Practice Location Address Details
Address
4351 W College Ave
City
Appleton
State
Wisconsin
Zip
54914-3928
Phone Number
262-345-5599
Fax Number
262-345-5608
person
Provider Business Mailing Address Details
Address
W175N11120 Stonewood Dr
City
Germantown
State
Wisconsin
Zip
53022-6511
Phone Number
800-438-1772
Fax Number
262-345-5531
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
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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