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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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