Organization
TALL PINES BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAKOTA J KAISER PHD (MANAGING PARTNER)
(715) 301-0267
Entity
Organization
Contact information
Practice address
100 N 72ND AVE, WAUSAU, WI 54401-9042
(715) 301-0267
Mailing address
100 N 72ND AVE, WAUSAU, WI 54401-9042
(715) 301-0267
(844) 444-0672
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
04/24/2021
Last updated
04/27/2026
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