| Genesis Behavioral Services, Inc. | |
|
1626 Clarence Court West Bend WI 53095 | |
| (262) 338-8611 | |
| (262) 338-3367 |
| Full Name | Genesis Behavioral Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1626 Clarence Court, West Bend, Wisconsin |
| Authorized Official Name and Position | Pauline Ortloff (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4147771570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Behavioral Services, Inc. 12647 Olive Blvd Attn: Accts. Receiveable Saint Louis MO 63141-6393 Ph: (414) 777-1570 | Genesis Behavioral Services, Inc. 1626 Clarence Court West Bend WI 53095 Ph: (262) 338-8611 |
| NPI Number | 1306004999 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 02/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306004999 | NPI | - | NPPES |
| 42185921 | Medicaid | WI | |
| 42185900 | Medicaid | WI | |
| 42242221 | Medicaid | WI | |
| 42186000 | Medicaid | WI |
Wild Hope Counseling & Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N Main St Ste 204, West Bend, WI 53095 Phone: 262-343-8285 | |
Genesis Behavioral Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1626 Clarence Ct, West Bend, WI 53095 Phone: 262-338-8611 Fax: 262-338-3367 | |
Fresh Perspective Psychotherapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2395 W Washington St Ste 202, West Bend, WI 53095 Phone: 262-689-9203 | |
Washington County Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 E Washington St, Suite 2100, West Bend, WI 53095 Phone: 262-335-4545 Fax: 262-335-6827 | |
Aro Counseling Centers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1622 Chestnut St, West Bend, WI 53095 Phone: 262-338-9498 Fax: 262-338-9506 | |
Life Space Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N Main St, Suite 201, West Bend, WI 53095 Phone: 920-960-7232 Fax: 920-923-2736 | |
Delta Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 N Main St Ste F, West Bend, WI 53095 Phone: 262-236-7102 |