| Haven House Community Support Center Llc | |
|
548 N Lake Ave Phillips WI 54555-1028 | |
| (715) 339-6453 | |
| (715) 339-6450 |
| Full Name | Haven House Community Support Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 548 N Lake Ave, Phillips, Wisconsin |
| Authorized Official Name and Position | Pamela Olson (OWNER) |
| Authorized Official Contact | 7153396453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven House Community Support Center Llc 548 N Lake Ave Phillips WI 54555-1028 Ph: (715) 339-6453 | Haven House Community Support Center Llc 548 N Lake Ave Phillips WI 54555-1028 Ph: (715) 339-6453 |
| NPI Number | 1043473606 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 02/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043473606 | NPI | - | NPPES |
| 42255200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2793 (Wisconsin) | Primary |
Price County Human Services Dept Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 S Eyder Ave, Phillips, WI 54555 Phone: 715-339-2158 Fax: 715-339-4018 | |
Counseling & Development Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 171 Chestnut Street, Phillips, WI 54555 Phone: 715-339-3048 | |
County Of Price Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 S Eyder Ave, Phillips, WI 54555 Phone: 715-339-2158 | |
Price County Human Services Dept Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 S Eyder Ave, Phillips, WI 54555 Phone: 715-339-2158 Fax: 715-339-4018 | |
Counseling & Development Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 171 Chestnut St, Phillips, WI 54555 Phone: 715-339-3048 Fax: 715-339-2436 | |
Serene Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 148 S Avon Ave, Phillips, WI 54555 Phone: 715-661-4474 |