Organization
HALCYON WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA M LIEN MS, LPC (LLC SOLE MEMBER)
(715) 861-7762
Entity
Organization
Contact information
Practice address
345 FRENETTE DR STE 4, CHIPPEWA FALLS, WI 54729-3072
(715) 861-7762
(715) 861-7762
Mailing address
4905 157TH ST, CHIPPEWA FALLS, WI 54729-9004
(715) 723-4130
(715) 723-4130
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
4017-125
WI
Other
Enumeration date
03/12/2018
Last updated
05/04/2023
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