# CHILD & ADOLESCENT PSYCHIATRY CONSULTING LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Empower Mental Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619225232
- **Authorized official:** GENESSA L ANTONIEWICZ (CLINICAL DIRECTOR)
- **Authorized official phone:** (612) 327-7015

## Contact information

- **Practice address:** 2001 S CENTRAL AVE STE A, MARSHFIELD, WI 54449-4973
- **Practice address phone:** (715) 384-2818
- **Practice address fax:** (715) 384-2724
- **Mailing address:** 2001 S CENTRAL AVE STE A, MARSHFIELD, WI 54449-4973
- **Mailing address phone:** (715) 384-2818
- **Mailing address fax:** (715) 384-2724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | — | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 08/29/2012
- **Last updated:** 12/22/2020