Organization
LAFAYETTE COUNTY
Active
Other names
dba - Lafayette County Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE THOMAS SCHUHMACHER LPC (DIRECTOR)
(608) 776-4800
Entity
Organization
Contact information
Practice address
15701 COUNTY ROAD K, DARLINGTON, WI 53530-9207
(608) 776-4800
(608) 776-4914
Mailing address
15701 COUNTY ROAD K, DARLINGTON, WI 53530-0130
(608) 776-4800
(608) 776-4890
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
WI
251E00000X
Home Health Agency
—
WI
261QD1600X
Developmental Disabilities Clinic/Center
—
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1490
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
2279
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42139000
—
WI
05
—
43073300
—
WI
05
—
43104500
—
WI
05
—
43427700
—
WI
Enumeration date
08/30/2005
Last updated
07/19/2017
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