Organization
HEADWAY WISCONSIN BEHAVIORAL HEALTH SERVICES, S.C.
Active
Other names
Headway Wisconsin Behavioral Health Services SC
Organization subpart
No
Provider details
NPI number
Authorized official
CARY CRALL (MEDICAL DIRECTOR)
(646) 453-6777
Entity
Organization
Contact information
Practice address
205 HUDSON ST FL 9, NEW YORK, NY 10013-1810
(646) 453-6777
(212) 337-9841
Mailing address
205 HUDSON ST FL 9, NEW YORK, NY 10013-1810
(646) 453-6777
(929) 596-7897
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/19/2022
Last updated
07/29/2025
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