Organization
MIND TEAM, LLC
Active
Parent organization
BEHAVIORAL HEALTH CLINIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEHAVIORAL HEALTH CLINIC, LLC
Authorized official
AMYLYN SERRANO (PSYCHOLOGY TECHNICIAN)
(715) 842-9500
Entity
Organization
Contact information
Practice address
2417 POST RD, STEVENS POINT, WI 54481-6124
(715) 842-9500
Mailing address
630 S 36TH AVE, WAUSAU, WI 54401-3930
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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