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Organization
STATELINE MENTAL HEALTH SERVICES
Active
Organization
STATELINE MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE KNUEPPEL LPC (PSYCHOTHERAPIST)
(608) 217-7264
Entity
Organization
Contact information
Practice address
540 E GRAND AVE, BELOIT, WI 53511-6314
(608) 368-8087
Mailing address
2745 FAWN CT, BELOIT, WI 53511-1973
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/12/2014
Last updated
03/21/2025
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